Labour etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
Labour etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

16 Mayıs 2017 Salı

The Guardian view on the Labour election manifesto: widening the bounds of the thinkable | Editorial

Labour’s 2017 general election manifesto is a big break with the recent past. Whether the manifesto allows the party to make a fresh connection with the British electorate won’t be clear until 9 June. What is beyond doubt is that this manifesto proclaims that politics and government in Britain do not have to be done in the way the country has long been accustomed to. That is true, and Labour is offering the country a real choice. So far, so very good, on both counts.


Jeremy Corbyn’s biggest achievement is to put several propositions back into the arena that had been thought extinct. That does not mean all of them deserve a new lease of life equally. Nationalisation in the shape of expensive, centralised public ownership is one to treat with caution, not least because of the power it gives to trade union leaders to drive up costs. There are signs that Labour’s economic team recognises that, but not enough detail about how it can be done. Other changes, though, are more straightforwardly welcome. The most important of these concerns taxation.


For 30 years or more, taking its cue from America, British politics took it as axiomatic that all voters will always recoil from increased taxes. Understandable though this was in some ways, it was a denial of the principle of social responsibility. As a result, throughout this era, parties have had to contrive ways of providing good levels of public provision without overt tax increases. Not surprisingly, this has become increasingly hard to maintain, and the effect on public goods has often been brutal. The no-tax assumption reached its nadir in 2015 when David Cameron and George Osborne promised no rises in income tax, VAT or national insurance for all. But it was an unachievable fantasy, as Philip Hammond found in the recent budget.


Labour is right to level with voters that tax rates cannot be set in stone for ever. Governments must be able to respond to economic changes, and those that want to invest in new programmes or projects must either borrow or tax to do so. Labour proposes to do both, which may alarm some voters. But the principle that fair and necessary taxes are a mark of a civilised society is the right one, and voters understand that they must rise as well as fall. Too few parties have been honest about this in recent times – the Liberal Democrats are an exception. Today it is not just Labour that is striding boldly into this territory. Even the Conservatives see the point of keeping options open. But it is Labour that confronts the issues with welcome audacity.


The real question is whether Labour is proposing the right level of tax take and the right mix of taxes and spending. There is a discussion to be had here. Taxes on income are very important, but taxes on wealth, including houses and land, which are less easy for the asset-rich to avoid, do not get as much focus as they should. Labour’s boldness does not extend to uprating and reforming council tax bands, for instance; instead only a review into reform is promised. There is nothing in the manifesto about fuel or alcohol taxes, both of which raise money and have social dimensions too. Abolishing tuition fees is an expensive subsidy to the better-off.


It is possible that the election has simply come too quickly for Labour to work everything out properly here. Some of the changes that have been made to the leaked draft last week add to that impression, though politics is involved too. The section on Trident and Nato has been sharpened at Mr Corbyn’s expense. The earlier plan to halt NHS reforms has wisely been replaced by a review. Looked at overall, Labour’s manifesto is a mixed bag of pledges, with some strange inclusions and other surprising omissions. Though radical in some ways it is conservative in others. The section on union rights is detailed and extensive, but that on the future of the United Kingdom is perfunctory. There is not as much sense of the future as there should be.


At 124 pages, this is a long manifesto. But it is not a suicide note. In terms of its social democratic credentials, the 1983 manifesto it most resembles is that of the Liberal/SDP Alliance rather than Labour’s. Its achievement is to expand the limits of the thinkable in British politics. Its weakness is that it does too little to make the thinkable seem realistic and practical. That reflects Mr Corbyn’s preference for energising his own support rather than persuading those outside it. This manifesto may not win Mr Corbyn the general election, but it could cement his support within his party.



The Guardian view on the Labour election manifesto: widening the bounds of the thinkable | Editorial

9 Mayıs 2017 Salı

Labour expels three members over attempt to unseat Jeremy Hunt

Labour has expelled three senior members in Surrey for trying to unseat the health secretary, Jeremy Hunt, by forming a progressive alliance with local Greens and Liberal Democrats to unite behind an NHS doctor standing against him.


Kate Townsend, the South West Surrey party secretary who stood in last week’s local elections, and Steve Williams, a party member for 46 years who sits on the constituency party’s executive committee, were notified of their expulsion this week.


Robert Park, a Labour member for almost five decades who chaired the Surrey Fabians and ran the regional remain campaign, has also been expelled.


Townsend and Williams have been leading figures in the campaign for a progressive alliance between local parties, where the Conservative cabinet minister has a 28,000 majority.


Williams has been working on behalf of Compass, the centre-left thinktank and champion of grassroots progressive alliance initiative, in defiance of the national party, which has said it will not entertain any notion of local party cooperation at election time. Party rules state that members must not support any other candidate for election who is running against Labour.


“We have massive support from the local party,” Williams told the Guardian. “It is such an overkill reaction to a group of people who are trying to unseat the health secretary. There was a campaign meeting last night, we only found out a few hours before that we had been expelled from the party so we weren’t able to go. People were storming out of the meeting, really very, very upset and angry.”


In a letter from the party’s head of disputes, Sam Matthews, Williams was told: “It has been brought to our attention with supporting evidence that you have publicly stated your support for a party that is standing against the Labour party in the 2017 general election, which is incompatible with membership of the Labour party.”


Williams was “ineligible to remain a member of the Labour party and have been removed from the national membership system”, the letter said, adding that he was no longer entitled to attend local Labour party meetings.


The party will consider an application for readmission only after five years, the letter said, though Williams said he was planning to appeal. The letter included supporting evidence, including Williams’ appeal for signatures for a letter to the Guardian supporting Irvine’s candidacy.


“We have been doing our best to unseat Jeremy Hunt, to hold him to account on his record because of what he has done to the health service over the last five years,” Williams said.


The initiative to back the National Health Action party’s Dr Louise Irvine, who received just over 8% of the vote in 2015, has the backing of local Labour leaders, including Townsend. Irvine, a GP, was the chair of the Save Lewisham hospital campaign, which defeated the government in court over the proposals to downgrade A&E and maternity units.


Williams said Irvine was “able, articulate, very capable of being able to hold Jeremy Hunt to account, when the NHS is such a key issue in his constituency”.


Local Lib Dem activists have also agreed not to campaign, after a meeting in Farncombe organised by Compass with members from progressive parties. The Green party has said it will not field a candidate.


Neal Lawson, chair of Compass, said: “Steve Williams has given 46 years of service to Labour and was backing a local doctor to take on Jeremy Hunt and defend the NHS. For this he got expelled by email. Labour is a tribal party in a non-tribal age.”


Park, who also stood for election for Labour last week, told the Guardian he had been expelled after an interview with the BBC’s Today programme in which he expressed cautious support for Labour standing aside.


“I have to say, I was upset,” he said. “It was a blunt, legalistic email message, I joined the party as student in 1963, I had thought particularly that somebody might have phoned to talk to me first, I’ve spent most adult life helping the cause.


“The irony is that [we are] three most loyal Labour members you could hope to get; when people were attacking [Labour leader Jeremy] Corbyn, we’ve stuck by him. Now we’re all out on our neck.”


Park said he still intended to volunteer to help Labour MPs in marginal seats, as well as considering campaigning to help the Lib Dem former cabinet minister Vince Cable regain his seat in Twickenham, south-west London.


“Whatever we do, the likelihood is that Jeremy Hunt going to win,” he said of his constituency. “Nonetheless we’re tired of having a small share of the vote and we do feel that if we get behind one candidate we can stand some chance of denting his majority.”


Labour has selected IT manager David Black to fight the seat for the party after the CLP chair, Howard Kaye, the party’s candidate in 2015, has said he would not stand again. The Lib Dems have also selected a candidate, Ollie Purkiss.


The Green party co-leader Caroline Lucas has called for talks with Corbyn, and the Lib Dem leader, Tim Farron, to make a “series of electoral alliances” in some areas against the Conservatives before the election, though both have publicly rejected her entreaties.


Local Greens made the decision to stand down in the recent Richmond Park byelection, in which the Lib Dems’ Sarah Olney unseated the former Tory mayoral candidate Zac Goldsmith.


The party has also decided to stand aside in several seats at the general election in June, including Ealing Central and Acton, to bolster the chances of Labour’s Rupa Huq in the marginal.


Lucas has called for Labour and the Lib Dems to respond similarly to strengthen her party’s chances of taking the Isle of Wight, where the party hopes to capture the traditionally Conservative seat after its good showing in local elections.



Labour expels three members over attempt to unseat Jeremy Hunt

8 Mayıs 2017 Pazartesi

Labour would ban junk food adverts during TV popular with children

Adverts for junk food and sweets will be banned from hit TV shows including The X Factor, Hollyoaks and Britain’s Got Talent under Labour plans to tackle childhood obesity.


A £250m-a-year fund aimed at making UK youngsters the healthiest in the world would also see investment in school nurses.


In an effort to tackle child mental health problems, the plan would support counselling services in primary and secondary schools. Adverts for unhealthy products high in fat, salt or sugar are already banned on children’s television. Labour’s plans would extend the prohibition to cover all programmes before the 9pm watershed.


Campaigners have argued that the existing ban does not cover TV programmes popular with youngsters but not specifically aimed at them.


Labour highlighted figures suggesting the move would reduce children’s viewing of junk food adverts by 82%. The move is part of a strategy to halve the number of overweight children within 10 years in an effort to curb the £6bn annual cost to the NHS of obesity.


The shadow health secretary, Jonathan Ashworth, said: “The scandal of child ill-health is a long-standing, growing and urgent challenge. It should be a matter of shame that a child’s health is so closely linked to poverty and that where and in what circumstances you grow up can dramatically affect your life chances.


“Evidence shows the link between deprivation and poor health in childhood, so with child poverty on the rise, the need for action becomes more acute. The UK has one of the worst childhood obesity rates in western Europe. Tooth decay is the single most common reason why children aged five to nine require admission to hospital. Around 13% of boys and 10% of girls aged 11-15 have mental health problems.


“When it comes to our children we should be ambitious. It’s time we invested properly in the health of the next generation. That means the sort of bold action we are outlining today to tackle obesity and invest in mental health provision. Labour will put children at the heart of our health strategy and put measures in place to make Britain’s children the healthiest in the world.”


The £250m child health fund would be paid for by halving the amount the NHS spends on management consultants each year, Labour claimed. The money would be used to expand the public health workforce and help with promotional schemes. The opposition said England has lost 8% of its health visitors since January 2016, and 15% of school nurses since 2010.


Within 100 days of a victory for Jeremy Corbyn on 8 June, Labour would produce a plan to halve childhood obesity within a decade. A new child health bill would write into law the ambition for the UK’s children to be the healthiest in the world and require all government departments to have a strategy in place.


An index of child health would measure progress against international standards and report annually on four key indicators: obesity, dental health, under-fives – including breastfeeding, immunisation and childhood mortality – and mental health.



Labour would ban junk food adverts during TV popular with children

27 Nisan 2017 Perşembe

Hunt broke law by axing NHS 18-week treatment target, says Labour

Jeremy Hunt has broken the law by not forcing the NHS to ensure that patients receive hospital treatment within the stated maximum of 18 weeks, according to legal advice obtained by Labour.


The counsel’s opinion says the health secretary is acting illegally by not obliging NHS England to compel hospitals to treat the required 92% of patients within 18 weeks of being referred by their GP.


The advice, by James Goudie QC, is potentially embarrassing for Hunt as it draws attention to the NHS’s increasingly poor performance against key waiting time targets for A&E care, cancer treatment and ambulances’ responses to 999 calls, as well as the referral to treatment (RTT) requirement. It specifies that at least 92% of all those waiting for non-urgent hospital treatment, such as hip or knee replacement or cataract removals, should wait no more than 18 weeks.


Controversy erupted last month when Simon Stevens, NHS England’s chief executive, announced that he was relaxing the 18-week target so that under-pressure hospitals could focus on more important priorities, in a move critics said meant it was being scrapped. The Royal College of Surgeons accused the NHS of “waving the white flag” on the target and condemning patients already in pain to further suffering due to the extended delays they would now face to get surgery.


Labour peers commissioned the 12-page opinion from Goudie, a barrister specialising in public law and employment law at 11 King’s Bench Walk chambers in London. It says: “I am asked whether the SoS [secretary of state] acted unlawfully by failing to include the 92% RTT target in the mandate to NHS England for 2017-18. My answer is: ‘Yes’.”


It goes on to explain: “This is because the 2012 Regulations and the NHS constitution have the effect that this must be included. The annual mandate cannot lawfully be used to circumvent or undermine by omission the absolute statutory and sub-statutory requirements.”


The mandate is the detailed annual document in which the Department of Health spells out precisely what key priorities it wants NHS England to fulfil in the coming year.


Labour claimed Goudie’s advice showed the government’s NHS plans were “in total chaos”. The party planned to use a motion in the House of Lords on Thursday to try to force ministers to explain what it says is a fundamental breach of patients’ rights under the NHS constitution. Philip Hunt [no relation], Labour’s health spokesman in the Lords, will also challenge ministers to publish the legal advice they have taken surrounding the 18-week target.


“Tory plans for the NHS are in total chaos. Legal advice commissioned by Labour confirms that the government have acted unlawfully in failing to deliver the 18-week treatment target for patients,” said Jonathan Ashworth, the shadow health secretary.


“Almost 4 million people are now on waiting lists because of the neglect and underfunding of this Conservative government and now this year’s NHS mandate is at risk of legal challenge. The government are failing to deliver the standards of care to which NHS patients are legally entitled,” he added.


Labour is now considering what its next move should be in light of Goudie’s advice, including whether it should seek a judicial review to challenge the legality of Jeremy Hunt’s actions over the 18-week target. No decision has yet been made on possible legal avenues it may pursue.


But Hunt last night insisted that he had done nothing wrong and that he had ordered NHS England to start hitting the 92% target again, which hospitals have missed every month since March last year at a time when the total number of patients awaiting treatment has crept up to almost 4 million.


“We do not believe there is a case to answer,” a Conservative spokesman said.


“Indeed, we wholeheartedly reject any suggestion that the government is not committed to the 18-week target, and as the mandate itself clearly states, we are specifically requiring the NHS to return to delivering that standard,” he added. The NHS is now carrying out record numbers of operations and treating 5,000 more people a day than in 2010, the spokesman added.


Hospitals breached the 92% target for the first time in December 2015 since its introduction in 2010. After meeting it again in the next two months, performance slipped to 91.5% last March and has stayed below 92% since. It hit an all-time low of 89.7% last December. In February, a total of 367,094 patients waiting for treatment had already waited for more than 18 weeks, according to the most recent NHS data.


Tim Gardner, a senior policy fellow at the Health Foundation thinktank, said: “The failure of the NHS to treat patients within the 18-week target is a symptom of wider pressures on the system. NHS hospitals are running at or near capacity to cope with growing demand for emergency care, and this limits their ability to perform planned procedures. If funding pressures continue to increase, the NHS will increasingly be forced to make trade-offs to live within its means.


“The government must ensure there are adequate levels of investment to maintain good standards of care in every part of the health and care system.”



Hunt broke law by axing NHS 18-week treatment target, says Labour

26 Nisan 2017 Çarşamba

Labour will give pay rise to "overworked and underpaid" NHS staff

NHS workers who have been “taken for granted” by the Tories will get a pay rise if Labour wins the election, the shadow health secretary is to announce.


Jonathan Ashworth will say in a speech on Wednesday that NHS staff have been “undervalued, overworked and underpaid”by the Conservative government, with cuts to pay and training forcing workers out of the health service and putting young people off applying.


This has led to short staffing that is a threat to patient safety, Ashworth will say.


In March, the government announced that around 1.3 million NHS staff would receive a 1% pay rise but critics pointed out the rise would see nurses, midwives and radiographers earn barely £5 a week more.


The settlement for 2017-18 is the sixth year in a row in which NHS staff’s annual pay rise has been lower than the cost of living – inflation is running at 3.2%.


Labour plan to lift the 1% cap on pay rises for NHS staff and move towards public sector wages being agreed through collective bargaining and the evidence of independent pay review bodies.


At the Unison Health Conference in Liverpool, Ashworth will say: “Our NHS staff are the very pride of Britain. Yet they are ignored, insulted, undervalued, overworked and underpaid by this Tory government. Not any more. Enough is enough.


“NHS staff have been taken for granted for too long by the Conservatives. Cuts to pay and training mean hard-working staff are being forced from NHS professions and young people are being put off before they have even started. Now Brexit threatens the ability of health employers to recruit from overseas.


Labour also plan to create legislation requiring NHS trusts to have regard for patient safety when setting staffing levels, as “Tory mismanagement” has left the health service “dangerously understaffed”.


It will ask the National Institute for Health and Care Excellence to assess whether legally enforced staffing ratios should be introduced in some health settings. The party will also reinstate funding and support for students of health-related degrees and incentivise NHS jobs to boost staffing levels.


Ashworth will say: “What is bad for NHS staff is bad for patients too. Short staffing means reduced services and a threat to patient safety. Labour’s new guarantees for NHS staff will help keep services running at the standard which England’s patients expect.”


The move was welcomed by unions and representative bodies.


Jon Skewes, director for policy, employment relations and communications of the Royal College of Midwives, said: “These are very welcome commitments from the Labour party. They recognise the effort, determination and commitment on the part of our hard-working midwives and other NHS staff to deliver the safest and best possible care for those using the NHS.


He also criticised the government for abolishing NHS bursaries, which has led to a fall by 23% of applications by students in England to nursing and midwifery courses at British universities.


The government’s policy of a 1% pay cap amounts to a drop in real wages, the TUC has calculated. Adjusting for inflation, a nurse, for example, would have earned £30,929 in 2010, but only £28,462 last year.


There are currently 24,000 nursing vacancies, according to the Royal College of Nursing as roles become harder to fill.


Frances O’Grady, general secretary of the TUC said: “Under the government’s current plans, NHS workers will lose thousands of pounds from their salaries. This is unfair, it will demoralise staff and it will increase the number who decide to quit.


“We hope all the parties will make an election pledge to scrap the unfair pay restrictions and give our hard-working NHS staff the pay rise they deserve.”


Unison general secretary Dave Prentis said NHS staff are “struggling to get by” on below-inflation pay rises and lifting the 1% cap would make them feel valued.


Conservative health minister Philip Dunne said: “We’ve protected and increased the NHS budget and got thousands more staff in hospitals. But all that’s at risk with Jeremy Corbyn’s nonsensical economic policies that would mean less money for the NHS. Just look at Wales where Labour’s economic mismanagement means they had to cut funding.”



Labour will give pay rise to "overworked and underpaid" NHS staff

2 Nisan 2017 Pazar

Labour challenges Hunt over dropping NHS waiting times target

Labour has challenged the health secretary over the legal basis for dropping a commitment on NHS waiting times.


The shadow health secretary, Jon Ashworth, wrote to Jeremy Hunt claiming the government and NHS England were acting unlawfully by accepting that the 18-week target would be missed.


NHS England’s chief executive, Simon Stevens, said he expected waiting times to rise slightly as a “trade-off” for improvement in other areas such as hitting the four-hour A&E target and better cancer care.


Longer waits can be expected for planned operationssuch as hip and knee replacements, cataract removal, hernia operations and laparoscopies.


The NHS target is for 92% of patients to be treated within 18 weeks of referra. Ashworth said: “The absolute nature of this legal duty to meet the 92% is reflected in the NHS constitution.


“The NHS constitution isn’t just a pledge by politicians; it’s a legal guarantee about the standards of care that patients can expect to receive in the English NHS. That includes a guarantee to treatment within 18 weeks, which NHS England have now said they can no longer provide because the government has denied them the funding they need.


“Government ministers need to urgently clarify they are not breaching the NHS constitution and must outline the consequences of denying patients their legal right to treatment within 18 weeks.


“As a first step, the secretary of state must publish his department’s legal advice urgently.


“Earlier this week NHS chiefs announced – without any public consultation or changes to the law – that the NHS will no longer be required to meet the 18-week treatment target because the financial crisis has got so bad. It’s utterly unacceptable and a striking admission of how badly the Tories are running the NHS.


“Since Theresa May became prime minister standards of care for NHS patients have been in a rapid downward spiral. She might be prepared to ignore NHS staff and the public but she can’t just ignore the NHS constitution based on legislation voted upon by parliament.”


On Sky News’ Sophy Ridge on Sunday Ashworth said he thought the NHS needed up to £5bn extra funding this year, suggesting the government should scrap tax cuts in order to pay for the health service.


“We can afford the NHS if the government is prepared to put the money in and make different decisions on tax,” he said.


Asked if he was prepared to consider tax increases to fund the NHS, he said: “I am ready to have that discussion with people about how we fund the NHS.”


But he added that money was being wasted because of the “privatisation agenda” and a failure to deal with public health problems such as obesity.



Labour challenges Hunt over dropping NHS waiting times target

25 Şubat 2017 Cumartesi

The NHS is struggling. Labour must offer a credible health policy

Labour’s attempt to terrify the voters of Copeland with talk of dead babies has failed. Now it needs to get serious about developing a credible health policy.


In north Cumbria the NHS faces difficult choices on maternity care. It has been struggling to maintain the support services and staffing necessary for consultant-led maternity care of acceptable quality in both Whitehaven and Carlisle. This means Whitehaven may lose its maternity service. Both staff and public are anxious about the risks.


Labour’s take during the Copeland byelection was “mothers will die, babies will die, babies will be brain-damaged”, and of course “only a vote for Labour will save our hospital”. Meanwhile, at prime minister’s questions this week, Theresa May easily swatted away Jeremy Corbyn’s latest riff on the theme of Tory NHS cuts.


The manner of Labour’s defeat in Copeland is instructive. It took the most emotionally charged line possible, on an issue of great local sensitivity, on its signature issue of the National Health Service, and lost to the government.


Yet the defeat came as evidence mounts that all three of the drivers of current NHS policy – quality and efficiency improvements under the Five Year Forward View, reconfiguration of local health systems under the Sustainability and Transformation Plan (STP) process, and devolution, are in difficulty.


An analysis of Forward View progress by Kingsley Manning, former chair of what is now NHS Digital, has concluded that “the acceptance of sub-optimal productivity is the default position for the NHS”. The STP plans will not change that, he says, because they do not see productivity as a priority.


This week’s report by the King’s Fund on STP progress highlighted the chasm between aspirations and credible delivery plans. Its authors do not believe that proposed cuts in beds will happen and see the delivery timetable for STP changes as unrealistic.


Crucially, from a Labour party perspective, the King’s Fund provides evidence that some of the current problems can be blamed on the 2012 health reforms. It points out the obsession with market forces is undermining the development of new ways of delivering services, and highlights the obvious but little discussed fact that STPs do not legally exist, so they have no authority to implement the changes they are recommending. They have been stitched together to overcome the structural chaos ushered in by Andrew Lansley.


Meanwhile, a report on health devolution by the Institute for Public Policy Research out next week will highlight the changes in accountability, commissioning, financing and regulation needed to unlock the potential of the devolution strategy.


Labour has to build a credible response to these problems. The Copeland defeat shows “save our NHS” will not be enough to save the Labour party. If it is going to demonstrate it is ready for government it will have to stop writing its health policy on a placard.


It will obviously promise more funding, but to do what? Will it have the courage to stop “saving” services and instead build community-based systems which in the long term will need fewer acute hospital beds? Will it push the NHS to face up to weaknesses in clinical productivity and back-office efficiency?


It needs to construct a proper role for the private sector in providing healthcare, rather than endlessly repeating “public sector good, private sector bad”. Companies, notably SMEs, have a critical role to play if the NHS is ever going to exploit the potential of digital to drive efficiency and quality and improve the lives of patients with long-term conditions.


Health devolution is difficult territory for Labour. Andy Burnham personifies Labour’s conflicting views, having moved from attacking the government’s devolution plans to being Labour’s candidate for Greater Manchester mayor. The party needs to decide how balance the benefits of services built around, and accountable to, local populations with its desire for equitable access across the country.


These are all big questions which the NHS is struggling to answer. Labour needs to offer its solutions.


Join the Healthcare Professionals Network to read more pieces like this. And follow us on Twitter (@GdnHealthcare) to keep up with the latest healthcare news and views.



The NHS is struggling. Labour must offer a credible health policy

27 Ocak 2017 Cuma

Labour MPs urge Priti Patel to stand against Trump"s "global gag" rule

MPs are calling on Priti Patel to take urgent action to support charities that provide women with information on abortion in an effort to limit the impact of one of Donald Trump’s first acts as president.


Six Labour politicians have written to the development secretary suggesting Britain takes similar steps to the Netherlands, which is planning to form an overseas fund after the US ruled that it would stop providing aid to international groups working in this area.


“As we are sure you are aware, the new US president Donald Trump signed an executive order blocking funding for a number of international NGOs that support women’s rights and family planning,” the MPs wrote, about what has been dubbed the Mexico city policy, or global gag rule.


“We would implore you to take urgent steps on funding and policy as the Dutch government has and as the UK government has done so previously, to mitigate the impact of this decision.”


The group – Stephen Doughty, Stella Creasy, Gareth Thomas, Stephen Twigg, Luciana Berger and Anna Turley – praise Patel for championing the work of the Department for International Development (DfID) for women and girls in developing countries. They say it has focused on access to education, health services, family planning, better nutrition and water and sanitation.


“The department has been at the global forefront in helping poor women to lead healthy and productive lives, and to increase voice, choice and control for girls and women,” they add, warning that Trump’s decision could undermine DfID’s work.


They highlight the Dutch plans for a fund to help projects providing access to birth control, abortion and women’s education.


“If Britain is going to show the kind of global leadership the prime minister suggests, then we need to put our money where our mouth is and step in when others fall short” said Creasy, who helped organise the London Women’s March.


“Cutting funding for reproductive healthcare doesn’t end abortion, it ends safe abortions. Trump may not realise that but Britain does and should act accordingly.”


What is the ‘global gag rule’, and why does Trump support it?

Doughty, a former aid adviser who sits on the development committee, argued that Trump had delivered a “sinister start” to his presidency.


“At a time when Donald Trump is advocating torture and slashing contributions to the UN – they are also gagging women’s rights organisations,” he said, urging Patel and Theresa May to try to undo some of the damage.


Thomas, who is a former DfID minister, said he had previously been involved in a decision to set up a fund after George W Bush, the last Republican president, stopped US aid funding safe abortion and family planning.


“We worked with allies in other development agencies to try to ameliorate the consequences of George Bush’s decision,” he said. “Now that Trump has followed suit I hope Theresa May will instruct DfID to once more lead the development community to help close the gap and thus support the rights of women across the world to live the life they want to.”


A DfID source said. “The secretary of state has spoken about the fact that family planning in development is an important priority to her. We will continue to show global health leadership by working to deliver this‎.”



Labour MPs urge Priti Patel to stand against Trump"s "global gag" rule

10 Ocak 2017 Salı

Labour has shifted focus away from the NHS crisis. For what? | Owen Jones

The NHS is in crisis: a “humanitarian crisis”, in the words of the Red Cross. The service is Labour’s invention; at this moment, it should be the party’s focus. A pledge of £350m extra a week for the NHS was critical to the triumph of leave in the EU referendum. It was second in importance only to immigration. As Vote Leave campaign director Dominic Cummings put it: “Would we have won without £350m/NHS? All our research and the close result suggests no.”


I’m not going to join the Twitter outrage over the Labour leadership declaring last night that it was “not wedded” to the right of Europeans to freedom of movement. We on the left sometimes fail to appreciate the distance that exists on immigration between us and the wider population. Name your demographic group: 18- to 25-year-olds, black and minority ethnic Britons, Londoners, Scots – all decisively report a desire to reduce immigration.


Does that mean Labour just blindly tails public opinion? No: that’s not what leadership is. Labour can credibly argue that the economy comes first and membership of the single market is the party’s priority. But it needs, at the very least, a language that reaches a public that overwhelmingly wants less immigration: basically, it must not make most Britons feel as though the party is flashing a V-sign in their face.


But Labour has now shifted the focus away from the NHS crisis, and for what? It is difficult to match what was trailed yesterday and what Jeremy Corbyn has said in his round of interviews today. The leader’s message on radio and TV was not, let’s say, very clear. Many supported Corbyn because they felt he would bring clarity: no more wishy-washy, middle-of-the-road, vacillating leadership. Fists would be swinging, there would be unequivocal opposition to the Tories. Today the leadership has antagonised many of its natural supporters, who are furious about what they see as concessions on freedom of movement; but those who take a different view on immigration will have heard little from Corbyn today that resonates with them.


More puzzlingly, Corbyn floated a proposal for a maximum level of earnings. As tax justice crusader Richard Murphy puts it: “A practical policy on high pay is to deny a company corporation tax relief on payment of all salaries of more than 10 times UK median wage.” This is a workable proposal that Labour should certainly explore and – I would argue – adopt. But why today? First you distract from focusing on the NHS with immigration, then you distract from your immigration distraction. Labour needs a clear vision backed up with clear messaging, not randomly throwing proposals into the ether.


As I’ve written before, the risk with the NHS is it becomes Labour’s crutch, and clearly it needs a much wider vision. But the NHS is currently in crisis. The government is under pressure over it. Labour should be hammering away at this uncompromisingly, and parking everything else. The Labour leadership has been privately discussing a big red bus to Copeland in advance of the byelection, emblazoned with a Labour promise to implement the £350m per week NHS pledge. This is a good idea, but Labour’s Treasury team worries about costs. On this policy – at this time – surely a Corbyn leadership can afford to throw a bit of caution to the wind?


There are some ardent Corbyn supporters who believe leftwing writers should not be making these sorts of public criticisms. The rest of the media have it covered, after all. But the Tories should be on the defensive on everything from Brexit to the NHS. Instead, they are currently, shamelessly, getting away with it all. Labour should be honing a clear, straightforward message, and sticking to it. Time is against them. They only have so many opportunities, and they need to seize them.



Labour has shifted focus away from the NHS crisis. For what? | Owen Jones

24 Kasım 2016 Perşembe

Labour pours scorn over autumn statement for ignoring sick and old

John McDonnell accused the chancellor of failing the sick and elderly after his autumn statement gave no additional money to the NHS or social care, despite warnings from the opposition party that both are at a tipping point.


The shadow chancellor said he feared a crisis in funding and care over this Christmas, after Hammond offered £23bn for infrastructure but no additional help for health services.


“Tonight, many elderly people will remain trapped in their homes, isolated, and lacking the care they need because of continuing cuts to funding,” McDonnell told the Commons in his response to the autumn statement. “You can’t cut social care without hitting the NHS …


“Across the country, hospitals are facing losing their A&Es, losing their maternity units, losing their specialist units. This Tory government is failing patients and failing dedicated NHS staff.


“It is the first time healthcare spending per head has declined since the NHS was created.”


Hammond mentioned the NHS in his autumn statement speech once to confirm the government’s commitment to spending an extra £10bn a year by the end of this parliament. There was no mention of social care and no additional money for either, despite warnings that shortages in funding are pushing hospitals to a tipping point.


In his response, McDonnell poured scorn on the small scale of measures to help families that are “just about managing” and highlighting a raft of struggling public services.


But it was Hammond’s failure to mention social care that caused the biggest response amongst Labour. Andy Burnham, the Labour former health secretary, said it was astonishing that Hammond could prioritise funding for new grammar schools over properly funding social care.


“Quite frankly, it is unbelievable that the chancellor could find no mention for social care today [after] six years of cuts of social care have left a record number of older people in hospital and the NHS on the brink,” he said.


Luciana Berger, the former shadow health minister, said there was mention in the 72-page autumn statement document that accompanied Hammond’s speech to the Commons of the words NHS, public health, social care, or mental health.


“The chancellor cannot ignore the fact our health and social care services are in crisis facing massive, massive deficits. Surely the many economists in his own department will have told him it is economically illiterate to ignore the massive decrease in people receiving social care in the community and the cuts to NHS and staff training. Why was the NHS missing from his autumn statement today?” she said.


Sarah Wollaston, the Conservative chair of the Commons health committee, said she wanted to get away with a divisive debate on social care and called for a cross-party consensus on solving the problem.



Social care is in crisis, says the Local Government Association.


Social care is in crisis, says the Local Government Association. Photograph: Alamy Stock Photo

Wollaston also said she was “disappointed” that extra funding has not been brought forward at the autumn statement, although she welcomed the signals that this is now under consideration.


During the debate, Hammond criticised Labour MPs for being “fond of talking about cuts to social care budgets” when local councils, not central government, are in charge of managing their own funding.


“What we’ve done is created a ‘Better care fund’ that by the end of this parliament will be delivering a £.15bn a year into social care and allowed local authorities to raise a social care precept that by the end of this parliament will be delivering an extra £2bn a year,” he said.


“That is £3.5bn a year of additional funding into the system. What I would accept is there is an issue that local authorities are saying about the profiling, about how this large amount of money ramps up. It’s an issue we are aware of and are discussing with them.”


He later dismissed the idea that there was any “crisis or looming chaos”.


Izzi Seccombe, of the Local Government Association and Tory leader of Warwickshire county council was also critical. “Councils, care providers, charities and the NHS have all called on the government to use the autumn statement to properly fund adult social care,” she said.


“The government’s failure to act today means social care remains in crisis, councils and the NHS continue to be pushed to the financial brink and face the prospect of more care providers leaving the publicly-funded market or ceasing trading.


“Tragically, the human cost of this will be elderly and vulnerable people continuing to face an ever uncertain future where they might no longer receive the dignified care and support they deserve, such as help getting dressed or getting out and about, which is crucial to their independence and wellbeing.”


The criticisms were echoed by Dave Prentis, general secretary of Unison, who said the government had“chosen to ignore social care, preferring to look the other way as a growing number of elderly people are getting no care at all”.


“Scrimping on social care is a huge false economy. Older people are often stranded in hospitals, unable to go home, using beds needed by other patients. This turns up the heat on our already overstretched NHS, which has also been forgotten about today,” he said.


Prentis said the funding crisis would be made worse because of the increase in the minimum wage for care workers without an equal increase in overall funding.


“With no extra resources for local councils – whose budgets will be down £6.1bn by the end of the decade – the minimum wage increase means unbearable pressure on care budgets. The losers will be older people needing care and the dedicated workforce struggling to look after them,” he said.


Jonathan Ashworth, the shadow health secretary, told the Guardian’s politics weekly podcast: “Everyone has been pointing out that the social care sector is in crisis, on the verge of tipping points, lots of organisations including the chief executive of the NHS has been calling for extra investment in social care and he’s done absolutely nothing. Nowt. Zilch. It is unbelievable.”


Bronwen Maddox, director of the Institute for Government, added: “Despite emergency funding for prisons, today we saw little indication of how the chancellor will address the ticking time-bomb in other public services, like health and social care.”



Labour pours scorn over autumn statement for ignoring sick and old

26 Ekim 2016 Çarşamba

Three-quarters of labour wards lack consultant cover at night – survey

About three in four labour wards do not have on-site overnight cover from consultants, figures suggest.


A survey of 165 maternity units found that in 2014-15 about 27% of labour wards had consultants physically present overnight on weekdays, falling to 15% at the weekend.


The census by the Royal College of Obstetricians and Gynaecologists (RCOG) also found the number of consultants may have reduced since figures were first recorded in 2013 and some recommendations on early pregnancy care had not been implemented.


Edward Morris, the vice-president of clinical quality at the body, said: “The RCOG recommends that trusts should ensure the adequate provision of consultant cover to deliver high quality, safe care to women. It is important to highlight that all consultant-led maternity units currently have 24-hour access to consultant obstetricians on call, some with resident working where needed.


“Ultimately, local trusts need to look carefully at the mix of their patient load, risk profile and staffing to decide whether their particular unit needs more frequent consultant presence.”


The RCOG said slightly fewer units had provided responses to the latest census, so the data had to be interpreted with caution.


The number of consultants had reduced since the survey was first carried out. However, the body said this was likely to be a reflection of a fall in the number of responses.


However, it found recommendations to increase the low number of weekend early pregnancy services had not been put into effect. “It is not clear why this remains the case as in the interest of patient care this would be considered one of the first services that could be provided seven days a week,” the RCOG said.


Some studies have suggested that round-the-clock cover by consultants is only necessary on the busiest labour wards.


An NHS England spokeswoman said: “Having a baby is now safer than it has ever been and the vast majority of mothers report that they get great NHS maternity care.


“Researchers at Oxford University have shown that overnight consultant obstetrician presence isn’t proven to improve care, and a national diktat to that effect would mean the closure of many smaller units, which is another reason why it wouldn’t necessarily be a good idea.”



Three-quarters of labour wards lack consultant cover at night – survey

12 Ekim 2016 Çarşamba

Patients forced to make appointments to boost profits, says Labour MP

Healthcare provider Virgin Care has been forcing patients to attend extra appointments to boost profits, says former employee and the Labour MP for Dewsbury, Paula Sherriff.


Speaking in the House of Commons, where she had been granted the first question to the prime minister, and where her words were protected by parliamentary privilege, Sherriff accused Virgin Care of insisting on, “extra consultations before surgery, boosting their profits at the expense of the taxpayer, and patient safety”.


Before she stood for parliament, Sherriff worked in Virgin Care’s dermatology service, in West Yorkshire. She claims patients were obliged to book a second, follow-up appointment before receiving treatment – for a suspect mole, for example – when the NHS would previously have carried out the same work in a single booking.


She told the prime minister this was “amongst many unethical practices” she had witnessed. The process of “double appointments” allows Virgin Care to levy the £100 to £150 appointment fee from the NHS twice, Sherriff said.


The MP, who has made a name for herself in her short time in parliament by campaigning against the so-called “tampon tax” on sanitary products, believes the outsourcing of NHS work increases costs, and produces worse outcomes for patients.


Virgin Care, which is part of the Virgin Group, has the contracts to carry out over 230 NHS and social care services, from running GPs’ surgeries to providing healthcare in prisons. Virgin bought up private healthcare provider Assura Medical in 2010 to capitalise on the fast-growing market in healthcare.


The prime minister replied that it was the last Labour government, not the Conservatives, that had significantly increased privatisation in the NHS.



Patients forced to make appointments to boost profits, says Labour MP

27 Eylül 2016 Salı

Labour is the only party that can save the NHS | Diane Abbot

In all of the abstract discussion about Labour values, it’s easy to forget that one of Labour’s real concrete values is to support and defend the NHS. If you cut the Labour party in half, it would have the letters NHS running through it.


The contrast with the Conservatives could not be greater, especially this Tory government. They are now embarked on their second major reorganisation of the NHS in just six years. Partly this is to clear up the structural mess created by Andrew Lansley’s Health and Social Care Act, legislation that Theresa May and all the leading Tories supported. But their deeply damaging drive towards marketisation and privatisation continues, on top of what NHS Providers describes as “eye-watering” cuts.


This is leading to the deepest ever crisis in the NHS. Almost every target is being missed and waiting times are lengthening for ambulances, for A&E, for cancer referrals and for elective surgery beyond 18 weeks. Leaks have revealed that the new STPs – Sustainability and Transformation Plans – are really Secret Tory Plans to decimate the NHS. Beds, units, departments, and whole hospitals will be closed, even though the population is both growing and ageing.


No party that put patients first would do any of this. And no party which valued the contribution of NHS workers would treat them the way the Tories have. Their record is real pay cuts, cuts to pensions, an increase in unpaid hours and now the attempt to impose unsafe and unfunded new contracts on the junior doctors. This has culminated in the first ever all-out strikes in the NHS.


The “seven-day NHS” is a chimera. Acute services have always been available in the NHS. It is only under the Tories that ambulances have been queueing around the block because there are no beds to admit patients, and that this has been happening on weekdays. The campaign for a seven-day NHS is a device to impose new, worse contracts on junior doctors. There is no logic in singling them out, and consultants, nurses, paramedics and admin staff could all be in the firing line next.


None of this is necessary. The reorganisations themselves are causing huge waste and disruption as providers and commissioners are first told to compete in the “health economies” and then that they must collaborate geographically. The cost of private finance initiatives (PFI) continues to rise and will be over £2bn this year. Because of staff shortages the agency staffing bill has soared to £3.6bn. And Big Pharma continues to milk the NHS, which now even the government weakly recognises. Above all, the greater involvement of the private sector means that NHS has to pay for private profits with funds that could be used for public service.


Labour will aim to drive the private sector rip-off out of the NHS. We will establish a PFI Monitoring Unit to hold the contractors to account, ending excessive charges and payments for shoddy service.


We will be able to redirect these funds to frontline services. Investment will be directed where it is most effective. So, childhood and adolescent mental health services, where three-quarters of all mental health conditions begin will be a major priority. We will promote public health, which itself is a public good and it will save the NHS money.


It is time to end the attacks on NHS workers. Staff need discussion and negotiation, not threats of imposed contracts. They also need to be encouraged to work in the NHS. The terrible decision to abolish bursaries for student nurses, midwives and other professionals and burden them with debt risks exacerbating the staff shortages in the NHS in these key areas.


This abolition of bursaries will be reversed by an incoming Labour government. We will end the scandal that these professionals will incur debt just to work in the NHS.


The difference between Labour and Tory values is extremely stark in relation to the NHS. The Tories are dismantling it. The whole of Labour can unite in defending it.



Labour is the only party that can save the NHS | Diane Abbot

20 Eylül 2016 Salı

I remember the welfare state being built. A divided Labour cannot save it | Harry Leslie Smith

As the date for the Labour conference grows closer, like dark clouds gathering on the horizon, my thoughts are focused on the social and economic injustices from our nation’s history that helped form this party’s progressive political ideology.


Come this October it will be 90 years since my eldest sister Marion was buried in a pauper’s pit on the outskirts of Barnsley. Not a day has gone by in the intervening decades when I have not thought of her miserable death from TB in a workhouse infirmary, or her ignoble burial in a mass grave for indigents because my parents, being from the working class, were too poor to afford my sister a doctor’s care.


My sister’s tragic end came at a time when Britain was ruled by a Tory government that had unleashed austerity on the citizens of Britain. Her death, and the misery I endured from poverty in the 1930s, were caused by government indifference to the plight of working-class Britain – and that politicised me to become a pragmatic socialist. I learned during the Great Depression that there can be no middle road to social or economic justice when my family, along with millions of other British citizens, were forced to live in substandard housing or slums because the government didn’t adequately tax its most affluent citizens and corporations.




Labour must end its eternal battle between its heart and its head. Both are necessary for electoral victory




It’s why since 1945 my political ideology has been fixed in orbit around the Labour party’s commitment to social democracy. So, when I was invited to speak at the Labour conference in 2014 about what life was like in Britain before the NHS, I was honoured. I was also gratified that I was finally able to give the speech I had waited a lifetime to give about the iniquities ordinary people endure if there is no social safety network to protect them.


Since then, I have spoken all across Britain to small and large crowds about how my generation struggled to build a welfare state, and how that became a tide which raised all boats from the miseries of unharnessed capitalism. But my talks were not so much about my past as about everyone else’s future, and how the younger generations must now shoulder the responsibility to maintain and preserve my generation’s legacy, the welfare state.


But for the young to make a difference and reverse years of neoliberalism that have fragmented this society and ossified their ability to prosper, the left must unite for one purpose: to defeat conservative politics that benefits the few at the expense of the many. Those of social conscience who want a nation based upon egalitarian ideals can only accomplish this if the Labour party ends its eternal battle between its heart and its head. Both are necessary for electoral victory. The warring factions in Labour must unite in a grand alliance that includes the PLP and its 500,000 enthusiastic members, as well as the millions of voters all across these islands who want a new deal.


Make no mistake: I am a fervent supporter of Jeremy Corbyn but I will not forget or ignore how I came to speak at that Labour conference in 2014. I will always be grateful to Andy Burnham, along with Ed Miliband and his office of dedicated staffers, who asked me to speak about healthcare because they believed in an NHS that is for the people and not for the benefit of hedge funds. It’s why, having met many of the members of the PLP over the past two years in every nook and cranny of this country, I can attest to their professionalism and their dedication to social justice. But in their anguish after Brexit, I believe the PLP members erred when they tried to oust a leader who had been elected less than a year earlier. I understand their frustrations just as well as those party members who are now angry at the PLP. I can see the merits to both sides in this acrimonious battle.


That’s why this year’s conference in Liverpool will be more important than even one held right before a general election. The speeches will be a window for the British electorate to see whether Labour can tell the human stories that win elections, rather than just settling old scores.


So, for those members given the great honour of addressing conference delegates – whether they support Corbyn or Owen Smith – they must remember that history is watching them and measure their words accordingly. This is not the time nor the place for the politics of revenge, but instead a time for amity. This is the time for Labour to reaffirm its commitment to forming the next government and building a compassionate Britain, where all are welcomed. The only way to do that is to get our own house in order.



I remember the welfare state being built. A divided Labour cannot save it | Harry Leslie Smith

2 Eylül 2016 Cuma

Labour defends junior doctors against "militant and overpaid" portrayal

Junior doctors planning five-day strikes are not unreasonable, militant or overpaid, despite what government “propaganda” suggests, Labour has said.


Diane Abbott, the shadow health secretary, said it was wrong for ministers to portray junior doctors as the “enemy within”, after they announced plans for their longest walkout yet in a dispute about a new employment contract.


The latest plans have divided the medical community, with the Academy of Medical Royal Colleges expressing disappointment at the British Medical Association’s decision to hold five-day strikes each month for the rest of year.


However, a key group within the academy, the Royal College of Paediatrics and Child Health (RCPCH), has dissented from the statement and condemned the government for imposing new contracts on junior doctors and overstretching the NHS.


Writing for the Guardian, Abbott also backed the struggle of the junior doctors, saying there was a danger that changes to rotas under those contracts would increase the risks to patients, and doctors might end up working even longer hours.


“The government is attempting to portray this entirely as a result of unreasonable, militant or even out of touch and overpaid junior doctors flexing their muscles. Nothing could be further from the truth,” she said.


“In psychology, this is known as projection. They are blaming NHS workers for their own failings. It is the government which is flexing its muscles. It is possible that junior doctors are just the first group of workers who will be targeted for the unreasonable imposition of contracts without negotiation.


“The Tory government is also out of touch with public opinion. Of course, the public dislikes the disruption and may even be fearful of its consequences. But they are clear that the blame for this lies with the government.”



Diane Abbott speaks to Jeremy Corbyn supporters


Diane Abbott speaks to Jeremy Corbyn supporters last month. Photograph: Jonathan Brady/PA

Earlier, Prof Neena Modi, the president of the RCPCH, said the academy was wrong to suggest that junior doctors were compromising patient safety by opting to strike, when the government had imposed “crippling problems” on the NHS.


Speaking on BBC Radio 4’s Today programme, she said: “We felt it was unjust in its implication that junior doctors do not put patient safety first and foremost. I believe junior doctors are always putting patient safety to the forefront of their concern. I know of no instance where any children were harmed during the last strike.”


She said it was the government’s squeeze on spending that was compromising safety. “Children’s preventive healthcare services have borne the brunt of the recent cuts to public health expenditure,” Modi said.


She added: “We have to consider what the junior doctors are saying, [it is] the imposition of the contract which has so dismayed them, it has been predicated on the false grounds that this will in some way provide seven-day NHS services. We are barely managing to provide five-day services at the moment. How, without additional resource … can you suddenly say ‘we will impose a seven-day service, we will impose a new contract on junior doctors’ out of thin air? That doesn’t stack up.”


The academy’s statement said strike action was not proportionate. Modi took issue with the wording. “Is it really proportionate to claim that by imposing the new contract we will suddenly deliver seven-day services?” she said.


Challenged about the potentially debilitating impact of the strikes on patients, Modi said: “We have had crippling problems placed upon the health service, those are debilitating too. Those are extending far beyond five days.”


Modi urged both sides in the dispute to return to the negotiating table. “We, the Royal College of Paediatrics and Child Health, have on several occasions written to the secretary of state for health, asking him, urging him, pleading with him, simply to be magnanimous, to show leadership, to drop the imposition of this contract.”


The academy denied it was split on the issue. A spokesman said: “We have 22 members. The only college that didn’t agree to the statement was the Royal College of Paediatrics and Child Health. The overwhelming majority signed up.”


Nigel Edwards, the chief executive of the Nuffield Trust health thinktank, said junior doctors needed the support of their senior colleagues.


Speaking on Today, he said: “The seniors were very supportive of the junior staff last time and that did make a big difference. It ensured that patients, paradoxically, actually got perhaps superior treatment when they were treated. Whether they will do that this time is open to question. It does seem quite significant that there has been this quite obvious shift in the opinion of the leaders of the medical profession. The academy don’t always find their members necessarily follow them, but they are a very good bellwether for where opinion is.”


Edwards said the strike would pose an added financial burden on NHS trusts because of the number of cancelled operations.


“A bigger, longer-term concern is that it makes quite a big difference to hospitals’ income if they lose this work. And they are all in quite serious financial trouble. Losing three weeks’ worth of planned care income is a big deal, and they may lose access to additional funds that the NHS has put aside to help support the financial position.


“The NHS has got this huge challenge to improve productivity. How does it do that if it doesn’t have the support of some of its key workers?”



Labour defends junior doctors against "militant and overpaid" portrayal

28 Ağustos 2016 Pazar

Medical professionals who back Owen Smith for the Labour party leadership | Letters

As healthcare professionals we welcome Owen Smith’s bid to lead the Labour party and his commitment to the NHS. The NHS is at a crossroads, and under continued Tory control its future as a world-class, universal healthcare provider, free at the point of use, is at risk.


Owen will invest £60bn more in the NHS than the Tories and is calling for an immediate halt to Tory privatisation and the reversal of their catastrophic reorganisation.


At a time when accident and emergency departments are closing, junior doctors are striking to protect their patients and waiting times are soaring, the need for a Labour government has never been so clear.


Despite savage Tory cuts to public services and the risk of a faltering economy post-Brexit, the Labour party under Jeremy Corbyn’s leadership is languishing behind the Conservatives in poll after poll. Owen leads Jeremy among the electorate, with 62% of people thinking he would make a better prime minister compared with Jeremy’s 38% in a recent BMG poll. It is Owen who can form a Labour government and deliver the leadership that the NHS and the country desperately needs.


It doesn’t matter how many thousands of supporters Jeremy addresses at rallies; if he cannot win over the millions of people who once saw Labour as their natural home, then the fate of our public services will be left to the Tories.


A Labour government is an essential step in providing the NHS with the resources and leadership it needs so we can deliver the world-class care that the people of the UK deserve.


Nothing less will do. That’s why we are backing Owen Smith.
Dr Sarah Clark CT2 Medicine, London & Holborn and St Pancras CLP women’s officer
Dr Martin Edobor National chair, Young Fabians
Prof Liz Lightstone Professor of Renal Medicine, London
Dr Daniel McGuinness ST5 Nephrology, London
Mr Keith Seymour Consultant surgeon, Northumberland
Dr Reena Aggarwal ST6 Obstetrics & Gynaecology, London
Dr Ratesh Bajaj ST4 Cardiology, London
Dr David Jones Consultant intensivist and anaesthetist, Merthyr Tydfil
Dr Thomas Oates NIHR clinical lecturer, London
Dr Zoe Kantor Neonatology SHO, London
Lindsay Gordon Community nurse, Reading
Dr Lucy Bradbeer GP ST1, London
Ruth Hodson Theatre scrub nurse, north Wales
Karen Cousins Retired specialist nurse practitioner, Northumberland
Dr Brian Morrissey ST1 Radiology, Aberdeen
Dr Nicola West CT2 Medicine, London
Stephen Naulls Medical student, London & Cleethorpes CLP Youth Officer
Dr Chloe Fairbairns FRCA, anaesthetic registrar, Leeds
Dr Alexander Scott Consultant in anaesthetics and intensive care, West Yorkshire
Jenny Davies Specialist podiatrist, Cardiff
David Davies Occupational therapist, Merthyr Tydfil
Julie Wintrup Occupational therapist, Newbury
Dr Sarah Dickson ST1 ACCS, London
Dr Thomas Halstead GP ST1, West Cambridgeshire
Andy Hill Nurse assessor, Birmingham
Dr John Mullany ST3 Clinical Radiology, Liverpool
Dr Neeraj Singh ST7 Anaesthesia and Intensive Care, Eastbourne
Ivana Bartoletti NHS information professional, London
Maria Coleman Renal Nurse, Cardiff
Dr Thomas Fox ST6 Psychiatry, Bromley
Sam Charlton Student nurse, Preston
Dr Lynn Miller Consultant cardiologist, Fife
Dr Lucy Carter Clinical research fellow, Oxford
Nikki Williams Registered nurse, Cottingham
Bryan Neale Retired registered nurse
Alexandros Onoufriadis Research fellow, London
Vasanthi Prathapan Clinical trials manager and research nurse, London
Sharon Jones NIHR BioResource co-ordinator, London
Dr Marc Osterdahl CT2 Medicine, London
Dr Jeff Unsworth ST6 Acute Medicine, Liverpool
Julie Goldie Senior nurse, London
Anna Lynch Quality improvement nurse, London
Dr Michael Northend Haematology registrar, London
Dr Sophie Edwards Care of the elderly consultant, London
Dr Jane Roberts Consultant child and adolescent psychiatrist, London
Felicia Olney Psychotherapist, London
Dr Sebastian Kraemer Consultant psychiatrist, London
Dr Prathap Pillai Respiratory Medicine, London
Rhanya Chaâbane Clinical trials practitioner, London
Terry Baker Carer, UK
Bridget Langstaff Deputy regional manager, National Treatment Agency, PHE
Dr Justin Shute Psychiatry consultant, London
Paola Di Meglio Senior investigator scientist, Francis Crick Institute, London
Debbie Boyes Former registered nurse, Bridport
Dr Ben Caplin Senior clinical lecturer and honorary consultant, London
Lewis Atkinson Surgery services manager, Tyne & Wear
Monika Temple Retired nurse and DOH civil servant, London
Dr Iain McCullagh Consultant anaesthetist and intensivist, Newcastle
Joanne Barber Newly qualified nurse, Wigan, Wrightington & Leigh
Dr Rachel Stanbrook CT2 Medicine, Leicester
Curtis McLellan Student occupational therapist, Coventry
Gillian Black Retired nurse and former director of community nursing services, Lambeth
Dr David Owen Consultant physician, London
Dr Mike Mclaughlin A&E registrar, London
Dr Andrew Stein Consultant in renal medicine, Coventry & Rugby
Dr Harriet Nerva Core medical trainee, Croydon
Joseph Wright Senior IT manager, London Ambulance Service
Dr Sean Morris GP trainee, London
Laura Drake Health visitor, Bristol
Dr Tim Fallon Consultant ophthalmologist, London
Candida Coghlan Research nurse, International Centre for Circulatory Health, London
Dr Peter Dilworth Retired GP, Liverpool
Dr Harry Costello CT1 Psychiatry, London
Dr Sophie Nocton GP trainee, London
Dr Jane Young Consultant radiologist, London


Join the debate – email guardian.letters@theguardian.com



Medical professionals who back Owen Smith for the Labour party leadership | Letters

23 Ağustos 2016 Salı

Seven-day NHS: Labour demands inquiry as leak reveals crisis warning

Labour is demanding an inquiry into revelations that senior civil servants fear the government’s push for a “truly seven-day NHS” may be derailed because it faces staffing and money problems.


Tom Watson, the party’s deputy leader, claimed that leaked Department of Health documents obtained by the Guardian and Channel Four News showed Jeremy Hunt had misled the public by pushing ahead with expanding the NHS in England despite his own mandarins’ concerns.


“Leaked secret papers show that junior doctors’ concerns were right. This warrants an inquiry. Hunt misled the public,” Watson tweeted in response to the disclosures, which have prompted renewed scrutiny of a policy that the Conservatives have pledged to deliver in full by 2020.


Senior Tories have responded to the publication of the department’s own risk assessment of the seven-day plan and other papers by making clear that they share the civil servants’ previously private worries.


Dr Dan Poulter MP – who until last year was a health minister alongside Hunt and is also an NHS doctor – tweeted his view that the documents constituted “a warning of the dangers of putting soundbites ahead of properly costed and resourced plans for our NHS”.


Dr Sarah Wollaston MP, the ex-GP who chairs the influential Commons health select committee, tweeted: “Cannot keep piling ever greater responsibilities on to an overstretched service without realistic resource and workforce to cope.”


In a swipe at Hunt she added: “Expect problems when thin evidence is used to bolster an under-resourced political objective instead of policy following the evidence.”


Diane Abbott, the shadow health secretary, said: “This is a scandal. The government is undermining the NHS with plans it knew to be unworkable. I will be writing to Jeremy Hunt to ask him to explain why [he] has contravened his civil servants’ advice and to ascertain whether he has misled parliament.”


Professor Jane Dacre, the president of the Royal College of Physicians, also warned that the drive to expand medical services at weekends was unrealistic because of the NHS’s worsening shortage of doctors, which is leading to more and more gaps in rotas and expensive use of locum medics.


“At the moment we are struggling to deliver care over five days, so to extend that to seven days and expect doctors to be able to provide high quality of care is not realistic. Doctors are working hard and they want to do the best they can for patients, but it is difficult to deliver the quality of care needed seven days a week without extra people to deliver it”, she told C4 News.


“There are just not enough doctors available to run a seven-day service at the moment. We all want to provide better patient care but to provide a seven-day service in our hospitals we need more doctors, and probably more nurses too. We also need pharmacists, occupational therapists and physiotherapists working at weekends as well.”


Hunt has made clear he expects the NHS to fund the expansion of services that he wants by 2020 from within the £10bn rise in its budget it will receive by then.


However, health experts such as Nigel Edwards, chief executive of the Nuffield Trust think-tank, have made clear that with the £10bn only bringing a 0.9% annual increase in NHS funding, the entire amount will be needed to help the service cope with growing pressures, and it will not cover the costs of having more doctors on duty in hospitals and GP surgeries by the end of this parliament.



Seven-day NHS: Labour demands inquiry as leak reveals crisis warning

23 Ağustos 2015 Pazar

NHS competitors could waste millions, says Labour, soon after Care Uk complains

Labour has warned that the NHS could be forced to spend hundreds of thousands on competitors attorneys soon after the UK’s biggest private healthcare provider demanded an fast investigation into a decision to award an elective care contract to a regional health trust.


Care Uk has been branded a undesirable loser following lodging a complaint with the NHS watchdog Keep track of more than the management of a contract by commissioners in north London.


Check has now begun an investigation into the determination by 4 GP-led clinical commissioning groups (CCGs) to award a contract to the Barking, Havering and Redbridge University Hospitals NHS Believe in. The believe in mentioned it was very disappointed by the investigation and warned that it would delay the opening of a care centre.


Andrew Gwynne, the shadow overall health minister, explained the new competition guidelines could force the NHS to waste hundreds of thousands on competition lawyers.


“This is a worrying sign of what lies ahead for the NHS under the Tories,” Gwynne said. “David Cameron promised to put medical doctors in control, but his competitors principles allow massive private wellness organizations to challenge the awarding of contracts to the NHS,” he extra. “It’s a ridiculous state of affairs that ministers need to have to urgently tackle.”


Care Uk, the UK’s biggest personal provider of wellness and social care, explained that the GP-led commissioning groups had applied the wrong criteria in awarding the contract, with as well considerably emphasis on price and too minor fat on top quality.


The contract covers a assortment of providers, which includes basic surgical treatment, orthopaedics and ophthalmology, for 965,000 men and women.


Care Uk, which has supplied elective care providers in the area for many many years, explained the CCGs’ decision to take away the contract was discriminatory.


Campaign groups warned that the NHS could face higher legal costs if private businesses began often interesting CCG selections.


Professor Sue Richards, the co-chair of Hold Our NHS Public, stated large private sector firms like Care Uk have been full of the virtues of competitors in concept, but claimed that when in practice NHS hospitals had been proven to be capable to do a greater occupation at a reduce cost, they called in the attorneys.


Richards stated that investigations into contracts could increase legal expenses for the NHS. “The last chief executive of the NHS, Sir David Nicholson, warned that the NHS had turn out to be a competitors lawyers’ paradise. How considerably will all of this cost and what could it have attained if invested on patient care?” she explained. “Don’t be a undesirable loser, Care Uk.”


Richard Vautrey, the deputy chair of the BMA’s Basic Practitioners Committee, stated that GPs had issues about challenging tendering processes, which could favour commercial companies.


“We remain concerned that worthwhile resources that would be much better invested on patient care are currently being diverted into an expensive tendering procedure and, possibly, into legal difficulties about the outcome of contract awards,” he mentioned.


Care United kingdom had revenues of virtually £730m in 2014, with underlying earnings of around £53m. The care supplier, whose nationwide portfolio includes hospitals, GP surgeries and psychological wellness centres, is owned by the private equity company Bridgepoint Capital.


Monitor explained that the investigation would target on whether or not the CCGs’ assessment of the bids was “consistent with their obligations to act in a transparent and proportionate way and to deal with suppliers equally”.


The NHS trust insisted that its productive bid had shown the greatest worth for cash, which was why it was selected by the CCGs. “Putting the elective care centre into NHS hands implies that sufferers will have greater continuity of care, and waiting instances will be diminished,” it said.


Care United kingdom explained it welcomed the investigation, adding that the existing circumstance could potentially trigger reduction of patient choice and increase troubles about cost competitors.


“Care Uk is committed to continuing to operate the service to the highest possible standards and continuing to assistance the neighborhood NHS in addressing its functionality issues for the duration of the period of Monitor’s investigation,” it mentioned.


A spokesman for the CCGs stated: “Barking and Dagenham, Redbridge, Havering, and Waltham Forest Clinical Commissioning Groups are disappointed that this investigation has been launched. We will of course cooperate completely with Check to help them acquire the info they demand.


“The CCGs continue to be confident that our arrangements to decide on a supplier of these services have been in the very best interests of sufferers, in accordance with the NHS principles on procurement, option and competitors.”



NHS competitors could waste millions, says Labour, soon after Care Uk complains

24 Ocak 2015 Cumartesi

Actual risk of widespread well being charging underneath Tories, says Labour

Shrinking the public sector to the dimension envisioned by the Conservatives could lead to widespread charging in the overall health support, Labour claims.


Ed Balls, the shadow chancellor, based mostly his claim on figures covering 34 created economies that present extensive health service charging in any nation that shrinks its state spending to as modest as 35% of GDP, the target proposed by the Tories for 2019-20. On common the level of fees is 3 times increased in individuals countries than in the Uk at current.


“What [the chancellor] George Osborne is proposing represents a real threat to the long term of the well being support,” Balls informed the Guardian.


Labour is trying to make the long term of the NHS the focal stage of the election campaign and will reveal new pledges following week on medical professionals, nurses’ coaching and social care.


There have been a succession of warnings from thinktanks that NHS finances are below unprecedented strain. Following week wellness workers are due to consider strike action above pay.


The newest A&ampE waiting occasions published on Thursday showed an improvement on the preceding time period, but the government target of 95% of patients becoming noticed inside of four hours is nevertheless becoming missed.


Labour says OECD figures show that 4 economies have public spending of 35% of GDP or less, all of which have greater “out-of-pocket expenditure” on health as a share of home investing than the United kingdom.


It mentioned the common degree of out-of-pocket expenditure as a proportion of complete spending on well being was more than treble the United kingdom figure.


The figures present that in 2012 Uk government spending was 45% of GDP, and out-of-pocket expenditure represented ten% of total overall health paying.


Swiss public paying was 33% of GDP and out-of-pocket expenditure created up 28% of total health spending. Mexican public spending was 27% of GDP and out-of-pocket expenditure accounted for virtually half of all overall health spending.


Balls stated: “This is what the overseas expertise displays if you go to these intense amounts of minimal public investing. There is a actual risk that a second Tory government will introduce costs.”


The Conservatives will deny the claims and say this is yet another try by Labour to use the NHS for party acquire. They stated the figures could reflect distinct priorities of various countries rather than a causal hyperlink among wellness charging and amounts of state paying.


It has currently promised that state paying on the NHS will be protected in the up coming parliament, but Balls said the coalition had only partially set out the source of the funding for this pledge for the first yr of the subsequent parliament.


The Tories have previously pointed out that state paying briefly fell to 35% of GDP beneath Labour, but Balls’s workplace explained this reduced stage, inherited from the Conservatives, came just as Tony Blair agreed large-scale increases in NHS spending.


Balls denied he was scaremongering and cited a warning from the director of the IFS thinktank, Paul Johnson, who said Osborne’s strategies essential a basic re-imagining of the position of the state.


The shadow chancellor said: “In that light it is very legitimate to ask questions about what the NHS will seem like in this globe. It is proper to level out that all countries that have gone down to this degree of public paying have considerably, a lot better degrees of charging for healthcare than the United kingdom does now. We at present have a single of the lowest degree of expenses.


“In my view you are not able to go down to this kind of sustained lower levels of public spending – the lowest for 70 many years – and anticipate the NHS to stay recognisable. These are the largest cuts in excess of 4 many years since the 2nd globe war.”


He extra: “Ten many years ago in the 2005 Conservative manifesto written by David Cameron, the Tories set out programs for a patient passport that introduced charges for folks that wished to jump the queue, so Cameron and Osborne have acquired kind on introducing costs for fundamental medical treatment options.”



Actual risk of widespread well being charging underneath Tories, says Labour