Category Archives: Health
Keep Our NHS Public Birmingham (KONP) says, “It looks like we’ve won our campaign for a publicly-funded (non-PFI) Midland Metropolitan Hospital in Smethwick/West Birmingham!”
The construction of the Midland Metropolitan Hospital in Smethwick collapsed after Carillion crashed spectacularly in Jan 2018 leaving the hospital half built. Then the bankers behind the ‘private finance initiative’ pulled the plug on the deal.
KONP Birmingham immediately organised a protest outside the hospital site demanding that the Treasury, health ministers and the Government should fully fund the hospital and run it properly under government and NHS control! Supporters included Birmingham TUC (BTUC), Unite the Union West Midlands, Unite the Community Birmingham, West Midlands Pensioners Convention and Birmingham Against the Cuts.
A month later, the Sandwell and West Birmingham Hospitals Trust Board voted to tell the Government that the only viable option for the completion was direct government funding, a full vindication of the KONP Birmingham campaign argument.
The Government and Hospital Trust has now reached an agreement to finish construction work with the Government providing funding for the remainder of the building work at Midland Metropolitan Hospital – which will see the new hospital built by 2022.
Birmingham Against The Cuts (BATC) says: “We believe that the Midland Met fiasco is a final nail in the coffin of successive governments’ love affair with PFI /2”
BATC gives a very cautious welcome for a publicly funded Midland Met Hospital in Smethwick/West B’ham (no PFI!) and expresses its continuing concerns:
Firstly, there is a delay in starting completion until early summer 2019, partly because the half built hospital was rotting away without any protection for 6 months and an additional £20m worth of work will have to be done from this September.
Additionally, the Hospital’s Trust Board Chief Executive has been dropping in phrases to his announcements such as “making cost improvement programmes above national norms”, “limited reconfigurations”, etc, which reflect the concern in Dr John Lister’s 2016 review (right) of the privately financed hospital published by KONPB and BTUC when the Midland Met was first mooted.
The Times reports that incineration has grown from 5.5 million tonnes in 2012/13 to over 10 million in 2016/17 according to government data and since 2010 21 incinerators have been built, almost doubling the number in use, with another 18 under construction.
Cross-party MPs warning of an escalating “incinerator boom” releasing harmful particulates, harmful to public health.
UK Without Incineration Network (UKWIN), has launched its report with cross-party support from John Grogan MP (Lab), Philip Davies MP (Con), and Lord Tyler (Lib Dem). They called on the Government to introduce an incineration tax.
The research revealed that harmful particles released by incinerators in England last year were equivalent to the emissions of more than a quarter-of-a-million 40-tonne lorries travelling 75,000 miles per year. This exceeds pollution reporting thresholds for particulates, but the report claimed that “due to a loophole” the public is not informed of the emissions.
Despite public resistance, the average incineration rate in the country is rising: about 38%, up from 30% two years earlier.
According to latest figures from the Department for Environment, Food and Rural Affairs, about 342,872 tonnes of rubbish, 69% of all waste, ended up in specialist Energy-from-Waste (EfW) power plants as fuel to generate heat and electricity in 2016-2017.
Many communities have resisted incineration with all the means they had and, for many years, Gloucestershire residents did so, in a saga worth recording in full – see one instance.
Following the disclosure of the full contract and Information Tribunal ruling, Community R4C, a not for profit Community Benefit Society, commissioned two consultants not associated with CR4C, and drew on contributions from other independent experts, to provide evidence on the incinerator contract between GCC and UBB. Main findings:
Construction has started, despite this ongoing investigation by the Competition and Markets Authority into the contract held between the county council and Urbaser Balfour Beattie.
Shlomo Dowen, national coordinator of United Kingdom Without Incineration Network (UKWIN), goes to the heart of the matter: “Many councils are locked into long-term waste contracts that encourage the incineration of recyclable and compostable material.”
An online search supports the observation that some councils have already broken free of waste contracts: on the first page of results Ealing, Lancashire CC/Blackpool, Sheffield, Peterborough were named.
Libby Forrest, policy and parliamentary affairs officer at Environmental Services Association, reckons the increase of waste incineration should be celebrated. She said: “Energy from Waste has increased because we are successfully moving away from landfill, which is more damaging to the environment. Energy from Waste saves 200kg of CO₂ per tonne of waste diverted from landfill, and generates low-carbon power far more efficiently than landfill, contributing to renewable energy targets and energy security”.
Jenny Jones (House of Lords) said: “There is a logic to generating energy from the waste that we cannot recycle or reuse, but it is meant to be the last resort option. What we have created instead is a market-driven system of incinerators which constantly need to be fed.”
We don’t think enough about local government, one of whose jobs it is to mend potholes. When in our own lives our nearside front tyre is shredded, the pothole, Parris believes, represents “a momentary twitching-back of one tiny corner of a great curtain, behind which lie, no, not potholes, but a million anxious human stories, caused in part by cuts in public spending”.
He adds that accidents due to potholes are usually relatively trivial compared with cuts which for others may have meant:
- the loss of social care in dementia,
- no Sure Start centre for a child,
- the closure of a small local hospital
- or the end of a vital local bus service.
Potholes are a parable for others that matter even more. Unfilled potholes put lives at risk and have become a symbol of the damage done to every walk of life by spending cuts.
All the pressures on those who run government, local and central, are to worry about the short-term. it is usually possible to leave issues like road maintenance, decaying school buildings, rotting prisons, social care for the elderly, Britain’s military preparedness or a cash-strapped health service, to tread water for years or even decades. “They’ll get by,” say fiscal hawks, and in the short-term they’re often right.
- Nobody’s likely to invade us;
- the NHS is used to squeezing slightly more out of not enough;
- cutting pre-school provision is hardly the Slaughter of the Innocents;
- the elderly won’t all get dementia at once;
- there’s little public sympathy for prisoners;
- teachers can place a bucket under the hole in the roof
- and road users can dodge potholes.
Parris continues: “But beneath the surface problems build up. The old get older, and more numerous. Potholes start breaking cyclists’ necks. Care homes start going under. The Crown Prosecution Service begins to flounder. We run out of social housing. Prisoners riot. And is there really no link between things like pre-schooling, sports and leisure centres and local outreach work, and the discouragement of knife crime?”
“When New Labour was elected in 1997 we Tories groaned as it tipper-trucked money into the NHS, school building and other public services. Thirteen years later when Labour left office the undersupply was monetary, the red ink all too visible”.
Parris asks: “Must we forever oscillate like this?
One answer: Green & Labour Party leaders would meet these needs and avoid red ink by redirecting the money raised by quantitative easing.
The rational case against metro mayors ably set out by Richard Hatcher, George Morran and Steve Beauchampé, has been shattered for the writer by the media-feeding chaotic, emotion-led, vicious, counterproductive squabbling in the Labour & Conservative ranks.
Still, evidently, a tribal people, we appear to need the ‘high-profile leadership’ extolled by Andrew Carter, chief executive of the Centre for Cities , largest funders Gatsby Charitable Foundation (Lord Sainsbury) and Catapult network, established by Innovate UK, a government agency. (see report cover right)
As yet, the announcements made by the West Midlands metro mayor Andy Street, respected even by most opponents of the post, with a business record seen as a guarantee of efficiency, are provoking little dissension.
Dan Jarvis, who is expected to win the Sheffield election becoming Britain’s seventh metro mayor, intends to continue to sit in the House of Commons to work for a better devolution deal and speak for the whole county. (map, regions in 2017)
His desire to stay in parliament while serving as a mayor is thought, by the author of FT View, to reflect a recognition that the real authority and power of these positions is limited:
- The six mayors have no say on how taxes are raised and spent.
- Outside Greater Manchester, the mayors have little control over health policy.
- Major spending decisions on transport policy are still taken by central government.
Days after taking office in Greater Manchester, Andy Burnham’s announcement of a new fund to tackle the region’s homelessness problem was backed by ‘a chunk’ of his own mayoral salary.
Andrew Carter points out that England’s mayors are highly constrained in their control over local tax revenue and how it is spent, compared with their counterparts in other countries.
FT View describes this extra layer of government as yet merely creating cheerleaders, adding:
“Voices alone will not be enough to shift economic and political power to the regions. England’s mayors need more control. If the government is serious about devolution, the mayors need the powers to match that ambition”.
Could well-endowed, unsuborned metro mayors out-perform successive corporate-bound national governments?
On 1 April 2018 the government will introduce the first Accountable Care Organisations (ACOs), which are to act as partnership bodies incorporating hospitals, community services and councils into the NHS in England.
The Health Service Journal reports that ACOs organisation, a corporate joint venture with GPs, will bring together most of a local area’s NHS services under a single budget, run directly by one big organisation – the ACO. which are to act as partnership bodies incorporating hospitals, community services and councils
Government intends to pass laws allowing ACOs to be set up (see above) without an automatic vote in Parliament.
A BBC website reports that campaigners has been given permission to challenge a government health policy in the High Court. They will pursue a judicial review against Health Secretary Jeremy Hunt and NHS England over plans to create ACOs. Campaigners say it risks privatisation, but this is denied by ministers. The group bringing the case to court says an act of Parliament would be needed for the changes.
The DHSS said the claims would be resisted and it is irresponsible scaremongering to say ACOs were supporting privatisation. A spokesman said: “The NHS will remain a taxpayer-funded system free at the point of use; ACOs are simply about making care more joined-up between different health and care organisations. “Our consultation on changes to support ACOs is entirely appropriate and lawful”.
Dr Kailash Chand, an honorary Vice President of the British Medical Association, claimed ACOs could be a “Trojan horse for privatisation” adding:
“At worst, they are the end game for the NHS.”
The British Medical Association union warned: “Combining multiple services into one contract risks the potential for non-NHS providers taking over the provision of care for entire health economies.”
And the Commons Health Committee chair Dr Sarah Wollaston (Conservative) said: “There is a great deal of anxiety out there that this is going to be a mechanism for privatising the NHS.”
Much ado about an OP nerve-agent: but hundreds of British farmers were poisoned – compelled by government to use OP dips
Senior ministers have been told that the nerve agent used to poison Sergei and Yulia Skripal in in Salisbury, on Sunday 4 March 2018 near Porton Down, has been identified by Porton Down experts as the organophosphate Novichock. Porton Down’s research focus has successively been known as Chemical Warfare, Chemical Defence, Chemical & Biological Defence and now Defence Science and Technology. Areas of concern are outlined here. Early British collaboration with American chemical warfare research (aka ‘field studies’) is acknowledged here.
In 2015 the Guardian reported that a cross-party MPs called for an inquiry into the compulsory use of dangerous chemicals called organophosphates (OPs), used to protect livestock from parasites. The Farmers Weekly reported that the Sheep Dip Sufferers Support Group repeated this call in 2016
The problem was first identified by Dr Goran Jamal, a Kurdish-born neurologist working in Glasgow, who later gave evidence of OP-related Gulf War Syndrome. Read Booker’s compelling account in Scared to Death: From BSE to Global Warming: Why Scares are Costing Us the Earth, or extracts from it here.
In his autobiography, BBC Countryfile presenter Adam Henson wrote: “the authorities realized that they were poisoning a lot of farmers”. In Countryfile Magazine (9.6.17) he wrote (snapshot of page, above right)
BBC Countryfile Magazine made the following points below:
- OPs were originally created as a nerve gas and were developed during the Second World War. In 1951 Lord Zuckerman, who would go on to become the government’s chief scientist, warned of the dangers of allowing farmers to use OPs. Zuckerman raised concerns that farmers could absorb the poison through skin or inhalation. Read the legal noticepublished by Minister of Agriculture and Fishery regarding the harmful effects of Ops in 1951. Read a report published by Tim Farron, MP, stating that Government knew about the harmful effects of OPs.
- Zuckerman called for farmers to be given detailed instructions for the use of OPs and for the substance to be labelled as deadly poison, although neither suggestion would be adopted until the 1980s.
- Dipping sheep became compulsory in the late 1970s, and the use of OPs specifically was mandated by the British government until 1992. Read abstract at Small Ruminant Research.
- In 1981 an advice leaflet was produced by the Health and Safety Executive (HSE) that warned against the dangers of using OPs, citing that the chemicals could be absorbed through the skin. A report from the HSE in 1990showed growing concerns over the use of the chemicals.
- UCL’s Dr Sarah MacKenzie Ross reviewed existing scientific evidence in 2013 and found that 13 out of 16 studies showed evidence of neurological problems following long-term, low-level exposure to Ops. Long-term health issues linked to OP poisoning also include multiple sclerosis and memory issues. (Ed; we add her work in Neurotoxicology and Teratology, Volume 32, Issue 4, 2010, abstract here.)
- In April 2014 MPs called for a ‘Hillsborough-style’ inquiry into the sheep-dip poisoning, with Shadow health secretary Andy Burnham called it a “major scandal”. Source: Agri Wales.
A saga of missing medical records
In the Telegraph, Booker pointed out that the health of thousands of farmers and their families had been destroyed by using highly toxic organo-phosphate (OP) chemicals to dip their sheep, as a protection against parasites. When the Health and Safety Executive (HSE) commissioned its own internal study into this disaster, its findings in 1991 were so devastating that they had to be ruthlessly suppressed. The survey, later released under a freedom of information request, said:
“Repeated absorption of small doses [can] have a cumulative effect and can result in progressive inhibition of nervous system cholinesterase.”
The Manchester Evening News published an early photograph of Littleborough farmer, the late Brenda Sutcliff with her husband Harold. She and three family members became ill after using a government-recommended sheep dip. No active, healthy old age for her – but her persistent campaigning was recognised and celebrated by many (below left).
Details of a sheep dipping survey were released by the Health and Safety Executive following a Freedom of Information Request by the Sheep Dip Sufferers Group. The HSE survey examined sheep dipping facilities and practices on a representative sample of 696 farmers across 16 different regions of Britain. See also: Minister pledges to re-examine OP sheep dip files
But in the same month as this report was published internally – May 1991 – the farming minister at the time, John Gummer, was demanding that local authorities clamp down on farmers who refused to use the chemical.
The report found 160 occasions where some form of ill-health occurred after dipping. It also criticised manufacturers for providing inadequate protective clothing and unclear instructions to farmers on how to use the chemicals: “If with all the resources available to them, a major chemical company proves unable to select appropriate protective equipment, what hope is there for an end-user?” Booker commented that ministers were only too aware that the government had forced the farmers to use these chemicals, which its own Veterinary Medicines Directorate had licensed as safe to use and ends:
“Although in 1992, the government quietly dropped the compulsory use of OPs for dipping, without explanation, a succession of Tory and Labour ministers refused to accept publicly that repeated exposure to them could cause irreparable damage – because, it seemed, any public admission that they were as dangerous as the HSE had found them to be might trigger off a major scandal resulting in tens of millions of pounds of compensation claims”.
A more high-profile victim (see illness), former sheep farmer Margaret Mar (right), a life peer in the House of Lords, has spent three decades campaigning in Westminster on the issue.
She said: “I know from private discussions with an advisor at the Department of Health that officials knew about the risks, but couldn’t publicly criticise OPs because they were a government-recommended dip at that time”.
An campaign by the Sheep Dip Sufferers’ Support Group, co-ordinated by Tom Rigby, organic dairy farmer and chair of NFU’s Organic Forum, has an exceptionally accurate and informative website, with a balanced approach, useful links and well-documented interviews and reports with the political establishment – recording reasonable interaction with MPs like Andy Burnham, George Eustice and Paul Tyler.
They deserve the last word:
“We are a group of volunteers campaigning for better diagnosis and treatment for all those affected by organophosphates used in agriculture. We have no membership subscription or outside funding and rely mostly on the collective experience of those who have been bravely battling against the devastating effects of these chemicals for decades.
“We hope 2018 will be the year when the farming community comes to realise the impact these insecticides have had on those involved in disease control and that they finally start to get the help and support they urgently need”.