Commentary and analysis of recent political events

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Number of homeless in England has risen for 3 years in a row, report says

Homelessness has increased for three consecutive years, partly because of housing shortages and cuts to benefits, with an estimated 185,000 people a year now affected in England, a report says.

Research by the Joseph Rowntree Foundation and Crisis found almost one in 10 people experience homelessness at some point in their life, with one in 50 experiencing it in the last five years.

Responding to the report, Emma Reynolds, the shadow housing minister, accused David Cameron of breaking his promises to tackle homelessness and get Britain building.

“Homelessness has risen every year under this government, the number of families with children living in bed and breakfasts is at a 10-year high and house-building is at its lowest in peacetime since the 1920s,” she said.

Leslie Morphy, chief executive of Crisis, urged the government to address a chronic lack of affordable housing and consider the impact of its cuts to housing benefit, such as the bedroom tax, welfare cap and shared accommodation rate.

Image of Accident and emergencyA&E Winter Crisis: Patients Wait 12 Hours

Hundreds of patients are being forced to wait more than four hours to be seen by accident and emergency departments as the winter crisis begins.

It is the first time since April that emergency departments have struggled to hit their four-hour targets as admissions to A&E hit the highest level since data started being collected in November 2010.

According to NHS England figures, 3,678 patients across the country were forced to wait between four and 12 hours for treatment.

Five patients were not seen for more than 12 hours last week – the busiest week of the year with 415,000 people visiting A&E departments.

Waiting times were worst in major A&E wards where just 92.2% of patients were seen within four hours.

Free-Market Ideology: The Destruction of Lives

The over-policing of America

BoJo the bozo: Cycling safety campaigners slam Boris Johnson over lack of helmet and hi-viz 

Idiot Johnson is not the only one setting a poor example. As a cyclist, I advise you to wear a helmet as I was advised by my GP (doctor). If you fall from a bike, you’re falling six feet or so possibly with your head impacting the ground. Even presidents can have a ‘bicycle accident’.

Continue ReadingCommentary and analysis of recent political events

Coalition cuts blamed for shortage of 20,000 NHS nurses

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http://www.independent.co.uk/news/uk/politics/coalitioncuts-blamedfor-shortageof-20000nhs-nurses-8933661.html

FOI requests reveal ‘hidden workforce crisis’ at odds with official statistics

Image reads Accident & Emergency, A & E

Freedom of Information requests submitted by the Royal College of Nursing (RCN) to dozens of NHS hospitals in England have exposed a “hidden workforce crisis” that has been missed by government statistics.

While official figures say that just 3,859 full-time nurse, midwife and health visitor posts have been lost since the Coalition came to power in May 2010, the RCN said that thousands more nursing vacancies have been created because hospitals have not been replacing staff that have retired or moved on due to reduced budgets.

Staffing shortages have been highlighted in a number of reports into NHS care. Robert Francis drew attention to understaffed wards at the Mid Staffordshire NHS Trust in his report into one of the worst care scandals in the health service’s history.

Howard Catton, the RCN’s head of policy, said that Government figures had not been “fully reflecting the shortages [that nurses] are experiencing at ward level”.

The report came as Downing Street confirmed that the Prime Minister is personally overseeing the NHS’s response to what A&E doctors have warned could be “our worst winter yet”. Many trusts missed their A&E targets last winter and there are fears that amid rising demand and reduced resources, the system may struggle to cope with expected spikes in admissions.

Thousands of patients wait 12 hours in A&E

New figures show 12,000 patients were left lying on trolleys for at least 12 hours in emergency departments last year

Around 12,000 patients spent at least 12 hours lying on trolleys after being admitted to A&E last year, according to new figures.

A further 250 people waited for treatment in casualty wards for 24 hours or more, a Freedom of Information request revealed.

One person was left for 71 hours and 34 minutes, nearly three days, at North West London trust, which runs Northwick Park and Central Middlesex A&E departments.

In another shocking case a patient waited 37 hours at Royal Liverpool and Broadgreen A&E while a third was left for 33 hours at Ashford and St Peter’s in Chertsey, Surrey.

Health campaigners claimed the figures were more evidence of the growing crisis in hospitals’ emergency wards.

The figures came as the government received a warning that the closure of 50 out of 230 NHS walk-in centres in the last three years was putting extra strain on A&E units.

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.

dizzy

Continue ReadingCoalition cuts blamed for shortage of 20,000 NHS nurses

Closure of 23% of NHS walk-in centres ‘will put more pressure on A&E’

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http://www.theguardian.com/society/2013/nov/11/nhs-walk-in-centres-quarter-closedNHS regulator

Monitor says closures of 53 popular clinics could leave vulnerable people unable to access GP care

NHS sign

Despite huge popularity, nearly a quarter of NHS walk-in clinics offering seven-day care and evening opening have closed in the past three years, according to research by Monitor, the health service regulator.

It said there was a danger that closures could leave some patients unable to access GP care, particularly those unable to register with a surgery, as well as low-income working families and high-risk socially excluded groups such as homeless people, refugees and drug addicts.

More than 230 centres offering family doctor services were set up in England in the decade to 2010 under a Labour government initiative to improve access to care for patients who found it hard to register with their local GP or were unable to get a speedy appointment at a time that suited them.

Ironically, some of the closures appear to be the result of the centres being too successful. NHS commissioning authorities that have closed walk-in centres told Monitor that the clinics triggered “unwarranted” demand among “worried well” patients for often minor conditions. Some said they had closed centres to make savings as they could “no longer afford the convenience that walk-in centres offer”.

The closures are widely spread around England including in London, Plymouth, Southampton, Bristol, York, Manchester, Blackpool and Colchester. Six so-called “commuter” walk-in centres based at major railway stations in Manchester, London, Leeds and Newcastle, have closed in recent years after for failing to attract enough patients.

Monitor’s research found nearly two-thirds of patients who attended walk-in centres were already registered with a GP. Of these, just over a fifth said they had contacted their GP practice beforehand but were unable to get an appointment. A further 24% said they did not even bother to contact their GP because they anticipated there would be no convenient appointments available.

Continue ReadingClosure of 23% of NHS walk-in centres ‘will put more pressure on A&E’

Number of NHS ‘super managers’ earning up to £240,000 soars amid pay freeze fear

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http://www.theguardian.com/society/2013/nov/10/nhs-super-managers-428-nurse-pay

Figures undermine David Cameron’s claims that health service bureaucracy is being cut

NHS sign

The number of elite NHS “super-managers” being paid up to £240,000 a year to implement the government’s controversial health service reforms has soared to more than four times the level originally expected by ministers, the Observer can reveal.

The latest official figures – which show a total of 428 “very senior managers” (VSMs) working in the newly constituted NHS bureaucracy – undermine David Cameron’s repeated claims to be slashing management posts and costs at every level in the service.

The figures will also anger more than a million NHS employees at the other end of the pay scale, including nurses and non-medical staff, such as cleaners, who have been warned that their planned 1% increase for 2014 could be cancelled because there is not enough money to fund it.

In 2010, as the coalition embarked on its controversial reforms aimed at opening the service up to more private competition, ministers told the Senior Salaries Review Body (SSRB) that by the time the changes were completed in April this year, there would be fewer than 100 very senior managers working in the top salary bracket of between £70,000 and £240,000 a year. But the Department of Health last night confirmed recent SSRB data which shows the number is now 428, including 211 super-managers at NHS England, the new body which oversees the budget and delivery of day-to-day services. The average pay of these managers is around £123,000 a year.

Pay review body documents also show that in May 2012, at the height of controversy over the changes, pioneered by the former health secretary, Andrew Lansley, there were 770 VSMs in post “during transition from old to new NHS structures”.

The figures do not include the 259 chief executives of NHS trusts whose pay is set by their own organisations’ remuneration committees and in some cases is more than £240,000 a year.

The revelations will pile more pressure on ministers after it emerged that some 2,200 NHS managers have been made redundant with large payoffs, only to be re-employed soon after.

Continue ReadingNumber of NHS ‘super managers’ earning up to £240,000 soars amid pay freeze fear

Privatisation, a very British disease

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http://www.opendemocracy.net/ourkingdom/joe-guinan-thomas-m-hanna/privatisation-very-british-disease

JOE GUINAN and THOMAS M. HANNA

Britain is an extreme oddity regarding privatisation: nowhere else in the advanced world is there such a willingness to sell everything that isn’t nailed down. Time and again the British public is ripped off and sold out by its leaders.

Image reads Cameron's Cultural DevolutionA few weeks ago, London was the scene of a heist of spectacular proportions. We may never know the full extent of what was stolen, but the indications are that it was anywhere between £1 billion and an eye-watering £6 billion. Although the robbery was carried out in broad daylight, it is unlikely the money will ever be recovered or the perpetrators brought to justice. This is because they were sitting in some of the world’s largest financial institutions – Goldman Sachs, Barclays, Bank of America and UBS – and acting on behalf of the British government.

Their instrument was the undervaluation of shares in Royal Mail, which with the initial public offering immediately soared from 330p to above 500p. The company was sold at £3.3 billion but in J.P. Morgan’s estimation the real value may have been as high as £10 billion. No wonder the IPO was oversubscribed. It was, as TUC General Secretary Frances O’Grady pointed out, akin to “selling five pound notes for four quid.” The biggest private shareholder is now the hedge fund TCI, which snagged 5.8 per cent of the company. The principal victim of this daylight robbery is, of course, the British public.

There has been plenty of public and media commentary – and even a little outrage – at this latest instance of the looting of Britain’s dwindling public sector. After all, even Margaret Thatcher was “not prepared to have the Queen’s head privatised.” The sell-off was conducted in the teeth of sceptical public opinion as well as fierce opposition from postal workers, with 96 per cent opposed in a recent ballot. Billy Hayes, General Secretary of the Communication Workers Union, denounced the manner in which a centuries-old public company, returning regular profits to the Treasury, was “flogged on the cheap for no good reason.” Postal workers have voted for industrial action, seeking guarantees on pay and working conditions.

Missing from most of the discussion, however, is any recognition of just how extraordinary all of this is. Business Secretary Vince Cable may have faced some tough questions about the handling of the flotation but it will blow over. No heads will roll. Asset-stripping of the public sector has become a fact of life. Even among the British left, battered by the serial privatisations of the 1980s and 1990s, there is a certain wearied resignation, a sense of going through the motions in the face of the seemingly unalterable order of things.

We should resist this normalisation. Viewed from an international perspective, Britain is an extreme outlier regarding privatisation. In no other advanced industrial country would quite so flagrant a rip-off have been engineered and tolerated. Nowhere else – not even in the corporate-dominated United States – is there such a degree of nonchalance about ownership and control over vital infrastructure and public services. In the UK, the attitude seems to be that if it isn’t nailed down then it is for sale. Privatisation is increasingly the British disease.

From Pinochet to perestroika

Privatisation has been a prominent feature of the British political landscape for decades, but on the basis of an assumed international policy consensus about how to improve efficiency and economic performance. It is true that, since the 1980s, privatisation has been a key instrument in the toolkit of neoliberal globalisation, enforced from Latin America to Asia to Africa wherever the writ of the IMF and World Bank could be made to run. By 2009, 132 of the world’s 500 most valuable corporations were privatised former state enterprises. But within this neoliberal framework, very few countries were actually prepared to go quite so far quite so fast as the UK.

In a 2002 encomium to privatisation, HM Treasury calculated that, all told, between 1980 and 1996 Britain had racked up fully 40 per cent of the total value of all assets privatised across the OECD. This is an astounding figure. Elsewhere, the only remotely comparable experiences occurred in countries – Pinochet’s Chile and the disintegrating Soviet Union – that were undergoing exceptional transitions and in which the rule of law was basically inoperative.

Chile was the original laboratory. Between 1975 and 1989, under the jackboot of the Pinochet regime and at the urging of carpetbagging Chicago school economists, the country implemented two waves of privatisation. Not merely companies nationalised by Allende but a host of older public concerns – including 16 banks and thousands of mines, real estate holdings and agricultural enterprises – were auctioned off to elites at bargain-basement prices.

Given the accolades afforded the “Chilean miracle” by Milton Friedman and others, it is worth noting that the first wave of Chilean privatisation was a major embarrassment. All but five of the banks and many of the other enterprises failed and had to be taken back into public hands. By 1983 the government-controlled portion of the economy again equalled that under Allende, and critics mockingly referred to a “Chicago road to socialism.” (The second wave of privatisation, beginning in 1985, eventually returned many of these firms to the private sector).

Road tested in Chile, privatisation was then exported out across Latin America and worldwide. Under Margaret Thatcher, Britain served as the most prominent conduit and cheerleader. With free market economists again hectoring from the sidelines (see Thatcher’s correspondence with Hayek), all memory of capitalist mismanagement of factories and mines in the interwar years was forgotten as the commanding heights of the economy – electricity, gas, water, steel, civil aviation, telecoms and railways – were delivered up for auction. It was a massive transfer of wealth from public to private interests, marketed to the people with soothing promises of a shareholder democracy.

As with Royal Mail, the brazenness of the theft was stunning. In his magnificent recent book on public ownership, Andrew Cumbers, Professor of Geographical Political Economy at the University of Glasgow, found “considerable evidence that state assets were sold off at remarkably cheap prices.” Shares in BT jumped from 130p at privatisation to £15 by 1999. Railtrack was sold for £1.9 billion, but within two years had soared in value to £8 billion. The rolling stock company Porterbrook Leasing, privatised for £528 million, was re-sold just eight months later for £826 million, while the other two rolling stock companies were subsequently sold for £900 million more than their privatisation price. The architects of privatisation could barely be bothered to disguise what they were up to. Former Chancellor Nigel Lawson went so far as to state in his memoirs that undervaluation was a deliberate government tactic.

Hugely important strategic considerations were at work, as was evident in the subsequent development of the UK economy. Privatisation not only allowed for attacks on the trade unions but also – together with big bang deregulation – contributed to the build-out of London-based capital markets. The £3.9 billion rollout of shares in BT in 1984, for example, was six times bigger than any previous IPO and four times the size of any other capital-raising exercise in the world at the time. In this way, the privatisations of the eighties and nineties helped secure the City’s continuing place as a world financial capital.

In addition, the sale of 2.5 million council houses at a total value of £86 billion – more than all other privatisations combined – helped generate the real estate boom and (as Stephen Wilks notes) ultimately contributed to the property credit bubble. Revenues from the sale of other public assets – totalling £69 billion between 1979 and 1997 – allowed successive Tory governments to maintain public spending while cutting taxes for short-term electoral gain. Leon Brittan insisted that “people always overestimated Mrs Thatcher’s grasp of economics while underestimating her grasp of politics.”

How the Orange Bookers took over the Lib Dems


What Britain now has is a blue-orange coalition, with the little-known Orange Book forming the core of current Lib Dem political thinking. To understand how this disreputable arrangement has come about, we need to examine the philosophy laid out in The Orange Book: Reclaiming Liberalism, edited by David Laws (now the Chief Secretary to the Treasury) and Paul Marshall. Particularly interesting are the contributions of the Lib Dems’ present leadership.

Published in 2004, the Orange Book marked the start of the slow decline of progressive values in the Lib Dems and the gradual abandonment of social market values. It also provided the ideological standpoint around which the party’s right wing was able to coalesce and begin their march to power in the Lib Dems. What is remarkable is the failure of former SDP and Labour elements to sound warning bells about the direction the party was taking. Former Labour ministers such as Shirley Williams and Tom McNally should be ashamed of their inaction.

Clegg and his Lib Dem supporters have much in common with David Cameron and his allies in their philosophical approach and with their social liberal solutions to society’s perceived ills. The Orange Book is predicated on an abiding belief in the free market’s ability to address issues such as public healthcare, pensions, environment, globalisation, social and agricultural policy, local government and prisons.

The Lib Dem leadership seems to sit very easily in the Tory-led coalition. This is an arranged marriage between partners of a similar background and belief. Even the Tory-Whig coalition of early 1780s, although its members were from the same class, at least had fundamental political differences. Now we see a Government made up of a single elite that has previously manifested itself as two separate political parties and which is divided more by subtle shades of opinion than any profound ideological difference.

 

Continue ReadingPrivatisation, a very British disease