Category Archives: Cuts
NHS: Boris Johnson’s proposes to let Africa and India educate our medics, engineers, scientists and technicians – then poach them
Early this morning Radio 5 reported that Boris Johnson has promised to lure more medics educated in poorer countries by halving the cost of the ‘NHS visa’ and speeding up the application process. This followed an announcement of measures to attract specialists in science, engineering and technology.
Boris Johnson proposes to intensify the harmful practice of importing doctors, nurses, workers in agriculture, service industries and IT experts from poorer countries. Rather than bearing the costs of educating our own, he advocates depriving developing countries of the able young enterprising citizens they desperately need.
In March, the Telegraph quoted figures from the General Medical Council showing that last year Britain imported more doctors than it trains. New figures show a steep rise in the numbers recruited from overseas. 53% of those joining the medical register came from overseas to do so – a rise from 39% in 2015.
This is the first time since 2006 that overseas doctors have outnumbered UK medics joining the register
NHS Providers, representing hospital, mental health, ambulance and community services, has written to Boris Johnson to demand action (FT 5.11.19). It made ominous references to ‘a complicated pension problem’ and advises recycling some unused employer pension contributions as salary.
Rule changes introduced in 2016 meant that rising numbers of consultants and other senior staff were facing unexpected tax bills linked to the value of their pensions. The FT article alleges that some high earners are left some facing effective marginal tax rates of more than 100% and in June the Guardian reported that some staff have had to remortgage their homes to cover their tax bills, while others were faced with the choice of cutting their hours.
Raise job satisfaction: as austerity continues, news of distressing delays and anecdotal accounts of neglect in NHS hospitals abound. A Labour government could:
- heed Simon Stevens, head of the NHS: “We need to train more health professionals in this country and that includes doctors. We’ve got five new medical schools coming online as we speak which will be a 25% increase in undergraduate medical places – arguably, that needs to be more”;
- reduce ratio of managers to medical staff;
- train nurses on the wards for the first three years before they undertake part-time university or technical education and
- as pledged by the Department of Health in 2007, bring back matrons who would once more be responsible for all the nursing and domestic staff, overseeing all patient care, and the efficient running of the hospital.
“We’re emptying Romania of doctors” a moral issue
Simon Stevens, speaking at the Spectator Health Summit in London, said the health service must stop “denuding low income countries of health professionals they need” amid warnings of a growing moral crisis. We need to do so in a way that is ethical so we are not, certainly, denuding low income countries of health professionals they clearly need,”
See https://thenewleam.com/2018/01/crisis-public-health-system-india/ There were many excellent photographs of long queues to see doctors in rural India but Alamy demanded a high price for them.
In March. the Telegraph reported that cancer surgeon Professor J Meirion Thomas told the conference: “We’re emptying Romania of doctors … they’re coming from eastern Europe, they’re coming from Pakistan, India, Egypt and they’re coming from Nigeria . . .
“I think there is a moral issue here. We are poaching doctors from abroad and have done for decades. They are coming from countries where they have been trained at public expense and where they are sorely needed.”
A surge in number of young people registering to vote has been reported as more than 300,000 applications were submitted in two days. There was a big spike on the day the election was announced.
- A third were from people under 25.
- Nearly two-thirds of applications were from people aged 34 and under
- and 4% came from those aged 65 and over.
Dr James Sloam is co-director of Centre for European Politics at Royal Holloway University, currently leading a project for the Greater London Assembly investigating the key policy issues for young people and questions of civic and political engagement and their relevance to the UN Sustainable Development Goals.
Dr Sloam argues that there has been a step-change in youth political participation, as young people have been attracted in large numbers to Jeremy Corbyn’s message. In the 2017 general election, turnout amongst 18-24 year olds rose from 43% in 2015 to 54% and polling data showed that most of them voted Labour.
BBC journalist Laura Lea points out that this is the generation that has borne the brunt of the financial crisis with uncertainty, unemployment and wage freezes being a staple of their adult life. Young people have experienced the tightest pay squeeze in the wake of the financial crisis – with real pay falling by 13%, according to the Resolution Foundation.
And – we add – they will have to face the increasing hazards of climate change.
Setting off on tour
In his first full week as Britain’s new prime minister, Boris Johnson toured the country before there was a pre-election legal requirement for balanced media coverage. He was booed in Scotland, confronted by farmers in Wales, chided over the future of the union in Northern Ireland, watched his coalition’s majority in Parliament shrink even further and saw the pound fall to a two-and-a-half-year low.
Richard House commented in the Western Daily Press that Mr Johnson has:
- seized headline after headline to create the illusion that the Tories are actually doing something domestically,
- induced voters to forget three years of self-inflicted Brexit-induced torpor and abject failure on all these domestic issues,
- been backed by the ongoing right-wing mainstream media propaganda assault on Jeremy Corbyn and Labour
- presented the Tories as the solution to the social and economic problems their austerity policies caused and
- created a xenophobic Brexit scenario where a heroic Churchillian Johnson rides to the rescue and tub-thumpingly “delivers” Brexit against all the establishment and Remainer odds.
Richard predicts that Johnson will rush to a general election before the November GDP growth figures show that the UK economy is formally in recession and warns the 99%:
“Really… if voters are fool enough to have their vote influenced by all this carefully choreographed manipulation, rather than on a straight and sober analysis and assessment of nine years of Tory policy-making calamity, we’ll end up deserving the government we’re landed with”.
Aditya Chakrabortty focusses on the ‘vast disconnect between elite authority and lived experience, central to what’s broken in Britain today’ – the ‘gap’ which widened as independent working class self-help initiatives were replaced by the ‘hand of the state’ (Mount) creating ’a new feudalism’ and from two searing analyses of our divided society (Jones).
- “Why is a stalemate among 650 MPs a matter for such concern, yet the slow, grinding extinction of mining communities and light-industrial suburbsis passed over in silence?
- “Why does May’s wretched career cover the first 16 pages of a Sunday paper while a Torbay woman told by her council that she can “manage being homeless”, and even sleeping rough, is granted a few inches downpage in a few of the worthies?”
- Is “the death sentence handed to stretches of the country and the vindictive spending cuts imposed by the former chancellor George Osborne, a large part of why Britain voted for Brexit in the first place?”
“We have economic policymakers who can’t grasp how the economy has changed, elected politicians who share hardly anything in common with their own voters . . . Over a decade from the banking crash, the failings of our economic policymaking need little elaboration. the basic language of economic policy makes less and less sense.
“Growth no longer brings prosperity; you can work your socks off and still not earn a living. Yet still councils and governments across the UK will spend billions on rail lines, and use taxpayers’ money to bribe passing billionaire investors, all in the name of growth and jobs.”
A University College London study published last year shows that the parliamentary Labour party became more “careerist” under Tony Blair – and also grew increasingly fond of slashing welfare. Social security was not something that ‘professionalised MPs’ or their circle had ever had to rely on, so ‘why not attack scroungers and win a few swing voters?’
The trend continues: Channel 4 News found that over half of the MPs elected in 2017 had come from backgrounds in politics, law, or business and finance and more came from finance alone than from social work, the military, engineering and farming put together.
This narrowing has a direct influence on our law-making and political class and Chakrabortty comments: “We now have economic policymakers who can’t grasp how the economy has changed, elected politicians who share hardly anything in common with their own voters”.
He concludes that this is what a real democratic crisis looks like: failed policies forced down the throats of a public. Institution after institution failing to legislate, reflect or report on the very people who pay for them to exist. And until it is acknowledged, Britain will be stuck, seething with resentment, in a political quagmire.
In an earlier post Political Concern reported that 2.6 million women born in the 1950s will ‘lose out’ because of changes to pension law: “while corporations and the richest individuals receive tax breaks.“
“Governments are balancing budgets on the backs of the poor”- (lawyer/novelist John Grisham)
One, the Chorley Supporters Group, is denouncing the government who arbitrarily told them to work for several extra years before they can claim their state pensions, causing them to lose income and peace of mind and obliging many to continue to work at a time of life when caring duties increase and energy levels start to fall. Read more in the Lancashire Evening Post.
Writing to the Financial Times they say: “It is about time the spotlight was turned on this government, which has effectively stolen the security net of millions of women by raising the state pension age far quicker than planned, with no personal notification”.
On the BBC’s World at One programme one of many testimonies was given:
Stella Taylor: “I was born in 1955, I had worked all of my life and, when I became unwell at just about the age of 58 I then discovered, quite accidentally, that my State Pension, which I was expecting to receive at 60, had been moved six whole years to sixty-six. And, like so many women in this movement, we were just aghast. We thought there must be a mistake. Had I received my pension at sixty, when I had expected to, I wouldn’t have been wealthy by anybody’s standards, but I wouldn’t have been in the depths of poverty that I now am. At the moment, because I am still unable to work due to ill health, I receive seventy three pounds and ten pence per week in Employment Support Allowance. Living, and paying all your household bills, out of that £73 a week is impossible. There are times when I have needed to use my local food bank because I haven’t been able to afford groceries.” More testimonies here.
On February 10ththe BBC reported the warning of Amber Rudd, the pensions secretary, which should be extended to her own department:
”If you chronically mismanage a pension scheme . . . we’re coming for you.”
After pointing out that a freedom of information request has revealed recent research findings that the government reneged on their contributions to the national insurance fund over many years and redirected that money towards paying off the national debt, the Chorley Supporters Group asks:
“How government can expect other public or private institutions in this country to play fair with pension funds when it is not doing so itself”.
On February 11th, the government published a research briefing on the legislation increasing the State Pension age for women born in the 1950s. up
This unexpected rise in the state pension age will now “save” the Treasury an estimated £8bn by impoverishing 1950s women.
MP Grahame Morris pointed out that the Labour Party, Liberal Democrats, SNP, Plaid Cymru, the DUP and 50 Conservative MPs support the Waspi campaign.
He added that Landman Economics’ report gives the figure of £8bn savings to government and suggests that this sum should be seen in the wider context of current or planned government finance. Some examples follow: (Ed: links added):
- The refurbishing of the palace of Westminster, which will cost the taxpayer some £7bn.
- HS2 – total cost, including rolling stock, £55.7 billion in 2015 prices – 2018 parliamentary research briefing.
- Britain’s six-hour bombing airstrikes in Syria, which each cost £508,000 or a year’s average salary for 18 junior doctors.
- An estimated £8.7bn of the health service budget which went to non-NHS providers of care in 2017-18.
- Billions of pounds which were lost to government following its progressive cuts to the bank levy.
FT Adviser reports that SNP MP Mhairi Black earlier pointed out that the National Insurance Fund is projected to have a substantial surplus at the end of 2017 to 2018 and the HMRC’s report confirms that the National Insurance Fund balance at 31 March 2018 was £24.2 billion and is expected to increase in the following year.
Morris ends: “In this context, finding the money for Waspi women seems a sensible price to pay to give these women justice . . . We know and we can see that it isn’t equal, it isn’t fair and it isn’t justifiable – it’s driving down the incomes and the quality of life of countless women”.
Next June the government faces a judicial review in the High Court to determine whether these recent increases to women’s state pension age are lawful and the Chorley Supporters Group, Chrissie Fuller, Jane Morwood, Betty Ann Tucker, Riley Ann Rochester, Beverley Cordwell, Lea Butler and Lesley Kirkham end by warning that they will not rest until justice is done.
As the media was focussing on Tuesday’s Brexit vote in the Commons, this morning only subscribers to the New Statesman read about the written statement by the secretary of state for housing, communities and local government, James Brokenshire.
In what the writer, Anoosh Chakelian (right), said is becoming a bleak pattern, the government chose Theresa May’s second attempt to pass her Brexit deal on which to publish its statement on local government finance.
A reassuringly generous set of dispensations?
The statement by James Brokenshire (left) opens with eight substantial paragraphs detailing increased funding in a wide range of sectors, summarised in the New Statesman:
“As first announced in the Budget, the government is releasing extra chunks of funding for social care and potholes, as well as more money for high streets. The government calculates that its settlement adds up to a rise in core spending power for councils from £45.1bn in 2018-19 to £46.4bn in 2019-20: a 2.8% cash increase. (It has also reiterated the £56.5m across 2018-19 and 2019-20 to help councils prepare for Brexit, which we can’t really count as extra funding as it’s to fill a Brexit-shaped hole.)”
Councils are to be awarded £56.5 million across 2018-19 and 2019-20 to help prepare for EU Exit. It lists “a broad package of measures and confirms that Core Spending Power is forecast to increase from £45.1 billion in 2018-19 to £46.4 billion in 2019-20”.
This information is meaningless to the general public. Are they going only to the 117 largest councils listed here, or should district councils and London boroughs be included? And will they be distributed according to need, population, or other criteria?
Anoosh Chakelian’s verdict: Far from generous. She points out that after eight years of austerity, cash-strapped councils will still face a funding gap of more than £3bn this year, according to the Local Government Association.
She adds that the pressure to set legal budgets, with an average 49% drop in real terms spending power since 2010 and rising social care demands, means that councils need substantially more than a 2.8% rise.
Decisions on business rates retention and a fair funding formula for local government have been postponed, despite the planned consultations having taken place and their findings published.
Noting that the long promised green paper on adult social care has not appeared and the funding announced is ’a short-term one-off’, she quotes the head of the National Audit Office, Amyas Morse, who said last March: “Current funding for local authorities is characterised by one-off and short-term fixes, many of which come with centrally driven conditions.”
Though James Brokenshire asserts that this settlement answers calls for additional funding in 2019-20, and paves the way for a more self-sufficient and reinvigorated system of local government, Anoosh Chakelian concludes: “This means councils will continue to operate in a financial void, unable to fund public services properly, while waiting for something to change in the promised Spending Review later this year”.
MPs ask how ‘the other England’ can be strengthened so that fellow citizens are not “pushed into destitution”
A Bournville reader draws attention to an article about Heidi Allen, Conservative MP for South Cambridgeshire, and former Labour MP Frank Field, now a backbencher. They are touring the poorest areas of Leicester Newcastle, Glasgow, Morecambe and Cornwall. Frank Field said they want to know “how the soft underbelly of our society – ‘the other England’ – can be strengthened so that none of our fellow citizens are pushed into destitution”.
Robert Booth, Social Affairs correspondent for the Guardian, reports that their widely publicised inquiry began in London where testimonials from those with first-hand experience of food poverty exposed the barriers that people face in securing support from the government, when faced with extreme life hardships and personal difficulties.
“Unless we blow the lid off it, my lot are not going to listen”
He explains that Heidi Allen had asked Frank Field if he would join her on a tour of the UK to show the government the “other England” shaped by the austerity policies pioneered by Allen’s party. She added: “Unless we blow the lid off it, my lot are not going to listen.” This is not a new concern: in her 2015 maiden speech Heidi Allen gave a detailed criticism of proposed cuts to tax credits, saying, ‘today I can sit on my hands no longer’.
Evidence from Leicester which they will be presenting includes accounts of:
- an illiterate man sanctioned so often under universal credit that he lives on £5 a week;
- a man who had sold all but the clothes he was wearing;
- someone told to walk 44 miles to attend a job interview, despite having had a stroke, to save the state the cost of a £15 bus ticket;
- a surge in referrals to food banks from 5% since the introduction of universal credit in June, to 29%;
- an elderly person – after her son, who had suffered a stroke, had been sanctioned 15 times – said, “The system needs more caring people. They are like little Hitlers”;
- another was expecting the bailiffs to take back her two-bed council house because she was in arrears, including on bedroom tax. Her second bedroom is used by her granddaughter five nights a week, so her son can work, but that doesn’t count – only children qualify’
The bureaucratic struggle to claim benefits is a big problem, carefully and accurately portrayed in Ken Loach’s internationally acclaimed award-winning film, I Daniel Blake (snapshot and link to brief video below). 65% of the most vulnerable people who come to Leicester council for help have never used a computer and don’t have a smart phone or an email address, needed to fill out forms.
A brief extract from the film – those who have seen it will remember that the computer session becomes far more stressful and eventually – as often happens – aborts for no fault of the ‘client’.
According to Feeding Britain, a charity set up by Field which now includes Allen among its trustees, after housing costs, 41% of children in Leicester – more than 34,000 – are living in poverty. The Leicester South parliamentary constituency was in the poorest 2% of constituencies in the UK in 2018. Over the last two summer holidays, in the most deprived parts of the city, over 15,000 meals were served to almost 1,650 children, using government funds.
In the Leicester Mercury, Leicester South MP Jon Ashworth said after reading the latest research findings: “These shocking statistics show high levels of child poverty in Leicester South. It is clear that the Government is failing working families, and cuts to Universal Credit will make child poverty even worse. It is appalling that since 2010 the number of children living in poverty has reached four million under this Government, and the Government is still maintaining the benefit freeze.”