Click to listen highlighted text! Powered By GSpeech

Home » Articles posted by shibleyrahman (Page 5)

Author Archives: shibleyrahman

Are we there yet? The road to the dementia cure is paved with biomarkers.



This was the CORRECT entrance – the Eastern entrance.

If you come to the ExCeL centre in anything other than a black cab, you will be circling the complex for hours before you set foot in an entrance.

DFB3XfLXgAIcjRJ

 

Make no mistake – this particular conference was intensely scientific. But it was nice to sink one’s teeth into the something other than the dividend-producing engagement and empowerment of the dementia industry.

DFK1v_VXgAAjcYa

 

 

Being a card-carrying academic, I personally think there is a lot to boast about in terms of the quality of neuroscience being done globally for dementia. Unfortunately, the genuine advances in the socio-economic-legal policy are dwarfed by a vocal minority of people with massive egos, who have a pathological addiction to introducing themselves to members of their inner circle.

But the good guys were there in force – mainly my Specialist Registrars from 2002 who had now become Professors in dementia at Queen Square.

Take Jonathan Schott.

DFL3MrRXoAAnzoE

 

Or Huw Morris.

(I was especially glad to hear there is now a palliative nurse specialist in the progressive supra nuclear palsy service.)

DFG_TpqXoAAS-Nl

Prof Martin Rossor – our boss – in fact tapped me on the shoulder as I was walking along one morning. I thought it was a security guard at first!

DFPLM33UMAAJV13

 

So there are many reasons to be cheerful.

DE4oarSXoAAUkFk

 

#AAIC17 for me was total heaven. The enthusiasm of the researchers was authentic and deep, and the camaraderie was inspiring. I still think this was one of the best slides in the whole conference, presented by Prof Philip Scheltens.

DE2dibAXgAAWamX

 

The mild cognitive impairment (MCI) continues to be rather fraudulently in my opinion as a ‘staging post’ to dementia, and there indeed to be some professionals who cannot even tell the difference between MCI and dementia. This is rather worrying.

DE2eOlgXgAEw88V

 

The narrative of the ‘conversion’ has been far too overblown – with nearly hyperbolic remarks on its importance in the lifecourse trajectory in the Lancet Commission which emerged at the end of the conference. The Commission curiously contained a reference to mild behavioural impairment – legitimising of course the self-entitled pronouncements of the medical profession of ‘what is normal’ when it comes to behaviour or cognition.

I agree with the Aunt Sally argument that there is some behaviour which is clearly abnormal (though in Cambridge it was hard to tell as there were indeed some people who had won the Nobel Prize more than once).  But one has definitely to be worried about human beings being drugged up to the eyeballs for being a ‘bit apathetic’ or a ‘bit depressed’, on the off chance he or she might develop dementia one day.

I found the Conference quite relaxing, like some package holiday one had been waiting patiently for for months.

DE6hfWeW0AAQmL2

 

My questions at the poster sessions ranged from ‘Where do you park your car at Addenbrooke’s?’ to ‘How long does it take you to do a lumbar puncture?’ Unfortunately, the young postdoc had no idea how long lumbar punctures took, despite her poster being all about CSF TDP43 markers and diagnosis – but she knew the junior doctor had done them all for her.

This is in a sense how idealised and pie-in-the-sky some of the international research has become – the need to focus on a chemically accurate diagnosis, whatever the symptoms are.

Like everyone else, I was there to flog something – my book in fact – available from all good bookshops, but possibly not from the Big Charity in dementia as yet.
DE7XLL_XgAAiHZo

 

And this person is a genuine ‘consumer’ of books of mine and Kate Swaffer, who sits on the World Dementia Council and is CEO of ‘Dementia Alliance International’ – the largest stakeholder group of people living with dementia in the world, the partner organisation of Alzheimer’s Disease International.

DFB5brYXkAMWCaz

 

It was great to see Kiki from Kenya, who is doing great work on the World Dementia Council – and also a friend of ours.

DFKc_KtXgAIrywt

 

 

 

 

Everyone knows that the current state of the amyloid hypothesis is a mess – for example, “the drugs don’t work” and there are people around who have loads of amyloid plaques and better cognition than you or me. But why spoil a good story? The feel good factor, like you get in a Billy Graham convention, is of course what conference goers in dementia lap up.

DE7bY2uXUAEGRdo

 

It was nice to see the Lewy Body Society – they have ALWAYS supported my work, and included me. And I am interested very much in Lewy body dementia, and I think Prof Ian McKeith is great.

DE8OMvKXYAAMTlp

 

 

The members of the Alzheimer’s Research UK team were fun all week – and it was great to see Hilary Evans (and George).

The work being funded by ARUK in neuroscience is of course a complete contrast to the lack of good neuroscience, apart from on cholinesterase inhibitors, which emerged in the Lancet Commission on dementia. The Lancet Commission on dementia seemed to confuse seamlessly whether the authors were discussing Alzheimer’s disease only at one minute, or >100 different types of dementia at another minute. But then again – for some researchers – the Alzheimerisation of dementia was complete long ago.

There was barely any sensible comment on the neurobiology of sleep in dementia, for example, the mechanism by which sensory impairment might lead to Alzheimer’s disease or any other form of dementia, or any meaningful biological mechanism of ‘cognitive reserve’ even though discussed at some length.

DE_hR0PXYAAPqe2

 

But I really  should’ve been concentrating on the basics – as for half of the week, I entered the ExCeL centre through the wrong entrance.

DFASprNXYAEA1u7

 

This was, however, one of my favourite posters. There is much to be said about how genes, prominent in the development of the human central nervous system, behave in dementia. I know notch-3 because of its rôle in vascular cognitive impairment, specifically CADASIL, but I found Lavinia Alberi Auber’s work as a PI brilliant.

DFAj5zhXgAIHyai

Lavinia was extremely knowledgeable about notch (and Wnt and wingless) as you’d expect her to be.

DFAkrCAXgAAbyEx

 

This was another amazing poster by Kirsty McAleese.

Definitely a star in neuroscience for the future.

DFBTNb9XUAAh0Vc

The importance of the poster for people interested in how the parietal cortex goes wrong in posterior cortical atrophy cannot be overstated.

DFBR_zKW0AEINUM

 

I’m a huge fan of the work of Prof Seb Crutch – so I was immediately drawn to these striking results on the neural substrates of posterior cortical atrophy.

DFGX4kXW0AAdAOg

 

Kieran presented his brilliant work on the factors affecting the prescription of anti-psychotics.

DFBcf-MXsAEvqpm

 

The content and tones varied a lot – so one minute it was Kirsty’s poster, and then it was Assoc. Prof. Lee Fay-Low with a sensational talk on dementia policy.

Seeing Prof Henry Brodaty walking around was exciting as seeing Bob Dylan in person.
DFBaHrUWAAA9kZ4

 

It was great to see some familiar friends, and now good friends, like Prof Dawn Brooker.

Dawn promised to help me with the parts of my new book ‘Essentials of dementia’ I’m doing with Prof Rob Howard that Dawn proposed herself – like “The VIPS model”. We ended up having quite a relaxing chin-wag about Namaste care and the issues of ‘process consent’ (but how Prof Jan Dewing’s work had helped a lot.)

DFBhVdnW0AAoUSk

 

I looked carefully at Barbara’s poster on behalf of some geriatricians who strongly support the bedside ‘clock drawing test’ for dementia.

DFF-58HXoAAq4G6

 

With the ‘greater awareness’ of dementia (however-so defined), there is going to be a varying perception of risk.

I’ve always liked Dr Richard Milne since we first met in Newnham College in Cambridge for a mini-conference on dementia.

DFPLM33U0AQke7Z

And his poster was a crowd puller – as well as really important work if we want to get people interested in slowing the progression of dementia in those people who’ve been newly diagnosed with it.

DFGglWsXYAAGhKj

 

One hopes that the urge to publish something ‘big’ on dementia during #AAC17 was not primarily due to the lack of progress on novel neuropsychopharmacological cognitive/behavioural interventions (and a big Phase III trial result) – but of course I would never be so cynical.

DFKZPYTWsAAGiEN

 

It makes intuitive sense that dementia develops long before the existence of symptoms. In other words, brain changes which lead to dementia are already setting foot in people when they are young.

But the problem with framing it as ‘this can prevent you from getting dementia’ argument is precisely what somebody living with Lewy body dementia once told me – “Shibley, I did none of that, and I still have dementia.” It is far better to frame the approach as risk reduction.

Baroness Thatcher and Harold Wilson were both highly educated Prime Ministers, having gone to a University called Oxford University.

And they both developed dementia.

Harold-Wilson-1963-010

 

 

 

 

 

 

There will be people who live ‘virtuous lives’ and who still go onto develop dementia.

How?

Why?

Quite amazingly, there is no mention of “determinants” in the main body of the text – and inequalities is only mentioned once in the text of the Lancet commission. This is simply not acceptable if one is taking seriously a life course analysis.

I was left genuinely wondering whether this Venn diagram from the Lancet Dementia Commission could’ve been easily adapted for frailty – but this thought is an artefact of the Commission consisting of the ‘great and good’ in that particular disease operating in rigid silos.

DFPCdLPVoAw_N4c

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For example, there as a huge amount on abuse in the Lancet Commission but nothing on deprivation of liberty safeguards. Academics work too in their own silos, promoting their own research grants too much, meaning that the work can too easily distorted and biased.

There is never any discussion of how the Wishlist for statistical analysis is derived (except the statement “We sought to calculate a combined PAF for known modifiable risk factors for dementia. We decided which risk factors to include by identifying those listed in the UK National Institute of Health and Care Excellence (NICE) and US National Institutes of Health (NIH) guidelines” is bordering on the too whimsical.)

There is never any discussion of the degree of independence of the factors (e.g. diet and diabetes), so consequently the results and discussion appear much more precise than they deserve.

DFKcMlXWsAArCGO

 

 

 

Prof Rob Howard’s talk was exceptionally useful – given how thorough and methodologically sound it was. But the acoustics were terrible.

DFKdvy2XUAEOJ3J

 

 

And the lack of sensible discussion in the talk and the paper on the factors affecting ‘social vulnerability’, such as the effects of poverty, poorly organised health and social care systems – genuinely troubled me. One of the questions in the audience alluded to whether the report was too medical – and I wonder about this too.

 

Even though the panel discussion of social vulnerability in the launch was poor in response to my question generally, Prof Alistair Burns correctly referred to the section of the paper which does indeed refer to social vulnerability – that is, of course, depression. (This impacts on social networks, loneliness and inclusion, discussed elsewhere in the paper.)

DFNITj2XkAE2P7g

There is no mention of “advance decisions” or the “United Nations Convention on Rights of Persons with Disability”, and only a mention of human rights in relation to abuse, which lead to me to conclude that the The Lancet Dementia Commission did not understand at all the legal field of substituted decision-making and the full importance of autonomy.  But having said that the discussion of advance care planning, and the importance of palliative care/end of life, was exemplary in my view.

DFKh_7JXkAAMMhi

 

 

 

 

If you’re genuinely interested in research, this conference is really for you. I had a thoroughly enjoyable and all too brief chat with Prof Ken Rockwood. Ken’s work is extremely well known to me – and I am particularly looking forward to discussing the work of Ken and of colleagues in Dalhousie University, Nova Scotia, in my book ‘Frailty: from assets and deficits to resilience’ for next year (Prof Ken Rockwood and Prof Adam Gordon are doing the forewords.)

DFL3MrQW0AAU7Eu

 

It was great to meet people I’d never met before – including Dr Joe Kane, a SpR in psychiatry with an interest in Lewy body dementia.

DFPLM32UQAEFQY5

Some people transcend all whinges I have – because they’re such decent people.

Chris Roberts is the best.

DFPLM33UwAAN7AK

 

 

@dr_shibley

Courage and leadership in healthcare: a critical analysis



DFQR9FaXYAASkIZ.jpg-large

 

Rebecca Myers and I have been writing a book together for some time.

It’s called “Courage and leadership in healthcare: a critical analysis”. We are honoured that Sage Publications (Books), highly celebrated in this field, have agreed to publish our book in 2018.

Sage, of course, publish the journal “Dementia: the International Journal of Social Research and Practice.”

We hope that our book will find relevance to all health and social care professionals with a particular interest in management and leadership. We are actively looking for people who wish to volunteer to give a clear account of their experiences (such as – and this list is not exclusive and complete – difficulties in ‘speaking out’ against the system for example clinically in safe staffing or “blowing the whistle”, courage in raising issues about bad policy or conflicts of interest, courage in coping with public failure, courage in facing terrible standards in healthcare directly or as a close relative or friend, courage in scientific research, courage in dealing with personal loss of a loved one, courage in dealing with the illness of someone close).

We anticipate that the book will have a number of important aspects – and we want people who use the health and social care services, as well as people who work for and run services, to tell us what they think is important about what is being done right (and wrong).

Moral courage is the courage to take action for moral reasons despite the risk of adverse consequences.

Courage is required to take action when one has doubts or fears about the consequences. Moral courage therefore involves deliberation or careful thought.

The concept of moral distress is not new. Jameton (1984) offered the first definition of moral distress in the nursing literature. He stated that moral distress is the stress that occurs “when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action” (p. 6).

Courage is also critical to people who run the NHS and social services. Lessons can be drawn from the leadership styles of people who have brought about exhibited great courage and brought about change, such as Gandhi or Martin Luther King.

Change is a powerful force in healthcare systems, and essential for healthcare systems to match provision to meet needs of patients and users.

Courage can be extremely personal too. Courage historically has been couched in the language of adversarial combat, and this runs in parallel with media messaging of conditions such as cancer or dementia. We will consider whether it is appropriate to consider cancer or dementia as a ‘fight’ – in that there are some cancers, for example, where complete remission is a possibility.

While anything can happen to anyone at any time, the preparation of death is important, for example, in palliative approaches; and has implications for individual reactions to life-changing illnesses and the lives of close carers.

Professionals and practitioners, and students, working in health and social care can get ill themselves too. Courage is needed to have to deal with multiple demands, such as the threats to health and illness themselves, the regulator, the media, impact on friends and family, and intense stigma and exclusion from peers and colleagues. (I hope to write about this from personal experience.)

The term “blow the whistle” has long been felt to be a strong phraseology for the courage to speak up against cultures which have gone wrong. Problems have still remained pursuant to the Public Interest Disclosure Act (1998) which is supposed to protect public sector employees. And yet speaking up courageously is often needed to promote patient safety, a key duty of all registrants in healthcare.

We will give an account of the individual experiences of people who have spoken out against the system, including misdiagnosis of important conditions, criticising poor clinical care, and speaking out against child abuse. Often people who speak out find themselves emotionally and intellectually ‘burnt out’ too, and the chapter will consider the pivotal need to protect staff wellbeing too.

Our book is a timely look at an important professional strand for all practitioners and professionals, patients and service users, and all other members of the general public. We hope you will help us get the content and style of the book right – and we hope especially you can directly contribute.

 

@dr_shibley

 

Book review: “Your life in my hands”, Rachel Clarke



DEDieQkXsAApuUI

 

 

 

In political circles, there’s an “unwritten rule” that ‘voters don’t do macro’. In other words, voters tend not to get concerned about the actual numerical level of GDP or national minimum wage, but whether policies affecting the country affect them personally.

 

Rachel Clarke’s “Your life in my hands” has 14 chapters, each with a one word title, such as “Haemorrhage” or “Haemostasis”. You realise quite quickly on in this book that the author’s account of being a junior doctor is deeply personal, as well as acknowledging the larger narrative elsewhere. Each chapter has a memorable individual and an equally useful narrative on the wider context.

 

The commitment to being a junior doctor shown by the author is extraordinary. Here is someone who had a glittering career in journalism ahead of her, but who choose to fit in science A levels in her spare time to make her eligible to do a second degree in medicine.

 

The author can spot all the devices of journalistic spin a mile off – so one can only imagine her intense disappointment about the junior doctors’ strike being reduced to an industrial pay dispute, being seen to be protracted by an overzealous BMA, and potentially doing harm to patients whom Rachel Clarke clearly loves.

 

I normally, being annoying, like to read everything very carefully, including the epilogue. And here the epilogue is deeply poignant. It speaks of a personal influence on the author. Sometimes the criticism is that being a junior doctor is simply like doing any other ‘job’, but Rachel Clarke’s personal familial influences on medical professionalism are deeply raw, very insightful and quite often surprising. And the descriptions of very vivid ‘brushes with death’ are incredible.

 

My late father was a much-loved single-handed GP of about 30 years’ standing, and I remember him getting up at 3 am to drive to a patient’s house, when I was a very young boy, even now.

 

The time when Rachel Clarke’s young boy, acting the part of a paediatric surrogate patient, points out to some hapless medical students, ‘it’s called a stethoscope’ is brilliant.

 

Even though the characters referred to in the book are anonymised, I recognised most of them. The descriptions are amazingly fine-grained. If you’re a stickler for detail, the character portraits are brilliant. In my case, the heroin addicts were brilliant at shooting up themselves.

 

The notorious fear of cannulaes and cockroaches would make any junior doctor proud. The accounts of friendships made, as well as experiences such as exact contemporaries saying, “Please could you have a look at this? I’m not really sure”, are brilliantly described.

 

Also, the sheer detachment of the junior doctor workforce from the managers is captured exactly by the promotion of Zumba classes at inappropriate times.

 

The clinical vignettes are accurate and interesting, such as the need to cannulate with very large venflons someone about to engulf herself in a gastrointestinal bleed, or the peaked T waves on the ECG of someone with a dangerously high serum potassium.

 

In my case, one of my latest memories whilst a junior physician at the National Hospital for Neurology and Neurology was the junior doctor in the adjacent cubicle screaming, “Just relax”.

 

This always signalled to me someone to me nervous about his examination technique rather than a genuine appreciation of gegenhalten and other similar phenomena.

 

As someone caught up in the GMC ‘class of 2006’, I have always found the concept of ‘resilience’ somewhat baffling. Rachel Clarke’s analysis of whether junior doctor training can really be likened to training in the army is both sophisticated and fascinating, as doctors invariably do not see themselves ‘in battle’ with their patients.

 

The word ‘resilience’, rather, I find inappropriate as it implies some regulatory frailty which is the fault of the junior doctor. Rather, in the case of a junior doctor with mental health problems, it is a feature of an extended ecosystem of lack of supportive seniors, often in a truly toxic culture, a lack of appointment of a GMC health supervisor, or a protracted regulatory regimen designed primarily to humiliate publicly its respondents, with no discernible endpoint.

 

The book clearly makes out how the professionalism of being a doctor completely defeats everything else. The joy of ‘take a look at this!’ for a medical student, in reference to situs inversus/dextrocardia, or a bulging palpable abdominal aorta aneursym, is wonderfully conveyed in the author’s description. None of this is, of course, captured by ‘productivity’, ‘efficiency’, or ‘innovation’ metrics.

 

I must admit that many of the recent episodes were immediately familiar to me, such as when Rachel and Dagan found themselves sitting at a fold-up table outside Richmond House, or that time messages from a secret group in the BMA found themselves in the public media.

 

The examples of the hashtags made me laugh, how the Secretary of State was unable to control all of the narrative. Nonetheless, the frustration of how the core problem of understaffing in hospital medicine had been exacerbated by deliberate cuts leading to threats in patient safety was clearly palpable like the most dilated vein Rachel Clarke has ever had to cannulate at 4 am.

 

And I do agree with a Twitter follower. When I come to re-read this astonishing book, I will want to do so on my iPad.

 

 

“Your life in my hands: a junior doctor’s story” Rachel Clarke, publisher Metro, July 2017.

 

 @dr_shibley

Experiences from a recovering doctor. Why I wish to return to doing clinical work



photo

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Being a doctor, with other people’s lives in your hands, is a massive privilege.

 

Much like a person who receives a diagnosis of dementia, I experienced enormous relief at receiving a formal diagnosis of alcohol dependence syndrome.

 

For the psychiatrists, it was obvious. I was unable to stop at one drink. I would have to drink more to get the same hedonic effect. I used to drink to avoid the withdrawal symptoms.

 

This June was in fact the tenth year anniversary of my six week coma spent in the Royal Free ITU in a coma. It was after that I became disabled. I had been resuscitated in fact by a colleague of mine who had been at Northwick Park. I sustained both a cardiac and respiratory arrest on the same afternoon in June 2007, as well as an epileptic seizure.

 

It is no small thing, therefore, for me to say that I love the NHS.

 

I remember, however, being very ill at the time of my job in a certain London trust. It was later remarked to the GMC years later that I had ‘bloodshot eyes’ and smelt of alcohol. Curiously, that Trust never made steps to help my health at the time.

 

A consultant and his registrar never discussed these health issues at the time, either.

 

I was certainly in trouble for my life, not merely career. In 2006, I was struck off. I then spent a year in a pub with no disposable income nor job, and a sluice of hate stories in the media. My late father spent the last years of his life utterly disgraced.

 

I tried to rebuild my life again. I remember the GMC Fitness to Practise panel adking me in 2014 what I had learnt most from my time off the GMC Register. I explained that I finally felt I knew it what it was like to be a patient.

 

It had been the first thing which came into my mind. But I feel it’s very true. I remember the occupational therapists of the Albany Ward at the National Hospital for Neurology and Neurosurgery taking me on a shopping trip to the local supermarket at the Brunswick Centre near Russell Square. My job was to organise buying groceries. The day afterwards, my session was making a cup of tea.

 

I remember the physiotherapy sessions – also in the community. I spent hours sitting on a rubber ball, while my friends who are now consultants and professors were beginning their specialist registrar rotations. I remember tiptoeing on a mythical line, to build up my pelvic muscles too.

 

I then went onto do my Bachelor of Law and Master of Law. I remember going to see a Professor of law to discuss doing a possible PhD in criminal law, in the law of insanity. I remember the disappointment of me and my late father as he advised not doing a doctorate in law.

 

I was then unexpectedly approved by the Solicitors Regulatory Authority to complete my pre-solicitor legal training. After a 3 hour viva, shortly after my father had died, I burst into tears and they offered me a box of tissues.

 

When I asked one of my other Specialist Registrars last week from that London Trust, now a Consultant in London, he said I would ‘hate clinical medicine’ because of the DATIX forms ‘used as complaints at Doctors’.

 

When 15 years ago at this London Trust, a dose of a medicine on a drugs chart was not dispensed because I wrote the wrong date on an overnight on-call, no “root cause analysis” was ever done. Instead, it became a big event in my GMC case. Notwithstanding, I have a wholly positive attitude to learning from mistakes for patient safety even today.

 

I can’t eliminate all the triggers for drinking unfortunately. Stress is certainly one of them, but I managed not to relapse when my dsability benefit was recently taken away, despite being clearly disabled.

 

I do remember the GMC asking me what I reckoned my biggest risk factor for drinking was. I simply replied: “Complacency”.

 

I actually do love patients and medicine. I have just completed three books on dementia, and I am doing two further on dementia and frailty right at the minute. My first book indeed won best book of the year award in 2015 for the BMJ Awards.

 

In 1999, I published a seminal contribution in dementia in the world. But I would be ineligible for jobs in academic dementia because I don’t have a ‘strong history’ of raising money in grants.

 

There are two schools of thought about people with mental illness becoming psychiatrrists in training – ranging from terrible to excellent.

 

But I would like to give this a go, flexibly, part-time, in an enjoyable environment.

 

My addiction psychiatrist, whom I adore, once warned me, “Shibley, you’re like one of these people who likes watching his favourite film, replaying the sad ending hoping one day it will be a happy one.”

 

I have no wish, of course, to ‘right any wrong’. I am in awe of the medical profession. It was with much reluctance I turned up at two interviews at Freshfields and Linkaters for training contracts in the law ‘magic circle’.

 

Despite all I have felt about the General Medical Council, I am eternally grateful to them that I do have a second chance. I try my best to look after my elderly mum, with whom I live, but even she wants me to give it a go.

 

I have a great support network now. I feel relatively resilient, but as I keep saying to friends of mine with dementia: “anything can happen to anyone at any time.”

 

 

@dr_shibley

 

 

The need to heal



White pigeon on black shutterstock_27792397

 

I don’t think anyone could have predicted the volume of stressful, unexpected events which have happened recently.

 

Today is my 43rd birthday. I would’ve been born at 6 pm during the World Cup, in Glasgow. These days, when I think of Glasgow, I tend to think of Tommy Whitelaw or Sir Muir Gray.

 

When Sir Muir Gray was once asked by Eddie Mair what he would like to be spoken to as, the reply came “Muir’s fine. That’s my name.”

 

Whatever achievements other people have or don’t have, I think we should all avoid being so judgmental. I know what it is like to have your reputation demolished. Recently, I even had experience of ATOS that I don’t have any needs at all as a disabled citizen.

 

But it’s easy for us all to forget what is going right with the world. Even with the mudflinging about the safety of cladding in the Grenfell Tower block, the community response has been sensational.

 

I rang up my previous employers (pro bono) at the North Kensington Law Centre last week. They haven’t stopped for a moment. Imagine for a second having your hopes and dreams being obliterated instantly.

 

Whatever problems you might have, never underestimate for a second what others are dealing with in relative silence. It never ceases to amaze me what pressures and worries people harbour in total silence.

 

Inequality and lack of fairness can only make me angry, but, having survived a six week coma exactly ten years ago, having had a cardiac arrest, I must emphasise that the only way is to look constructively to the future.

 

I don’t blame people getting focused on the minutiae in their own lives, micromanaging every minute detail, but it is worth remembering that successes can disappear as quickly as they come. And so thankfully can failures.

 

Despite the innumerable inadequacies of my own life, I am more than aware of the remarkable kindness of certain individuals who do not need to keep busy to promote their own self-worth.

 

I’ve always held that anything can happen to anyone at any time, and I think that all any of us can do is to die with the minimum number of regrets possible.

 

We are all on a steep learning curve, however titled, qualified or experienced, and, to remind us of someone who died exactly one year ago just days before her birthday and mind, there’s a lot more which unites us than divides us.

 

@dr_shibley

 

 

Whisper it softly. Jeremy Corbyn may even be a strength for the Labour Party.



Theresa-May

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

One of Jeremy Corbyn’s ‘trump cards’ was that Jeremy Corbyn’s personal vigour and attractiveness had attracted an unprecedented number of younger voters to the Labour Party. Lord Ashcroft’s recent breakdown of the demographics of the people who’d voted in the 2017 general election revealed that many older people, despite the policy disasters over the winter fuel allowance or the ‘dementia tax’, had decided to vote Tory. Critics of Jeremy Corbyn always insisted that these younger voters would never pull their finger out to go to vote Labour. Even when pictures appeared on Twitter of queues of young people voting in predominantly University towns, there remained a hardcore contingent who insisted nothing could be read into the turnout from such spurious anecdotal reports.

 

Owen Jones, to be clear, blamed himself as part of a collective failure ‘of the left’ to get their message across. But I disagree potentially with an important nuance of this. I don’t think it was ever held in doubt that it might have been unconscionable not to give nurses a pay rise. I believe even the most hardened belt-tighteners saw this as fair. John Rentoul for some time appears to have insisted, though I may be wrong, that ‘left wing policies’ are not instrinsically attractive. I think this needs some considerable qualification, even if you agree with the premise that there exists a very clear subset of ideas which are definitely left wing.

 

Supporters of Margaret Thatcher had for a long time resorted to drastic extremist arguments to make their points about state ownership. This varied, for example, from the ludicrousness of having a State removal van company such as Pickford’s, or how one would never contemplate a state-owned supermarket. But I feel this was the first step in taking voters for idiots. It was painfully clear that Southern Rail has been operating as a disaster. The Tories tried to discredit the costings of Labour of returning private rail into state ownership, but leading economists maintained that their criticisms were false.

 

It is well known that Andrew Lansley had in mind the utilities companies, such as British Telecom or British Gas, when thinking about ‘liberalising the market’ in the NHS. However, in economics, basic principles matter. The provision of healthcare is highly complex, and not everything is a homogeneous product such as water or gas. It is possible, conceivably, to hive off high volume and cheap services as hernia repairs into the private sector. But the issue boils down to whether you feel that market failure is a price worth paying for “market forces”. Tony Benn used to remark that whenever he saw a homeless person sleep under Waterloo Bridge he used to think of “market forces”.

 

If you leave anything to the market, there is always the risk that there will be large swathes completely not covered. For NHS patients, this is a disaster, if patients with rarer diseases bear the brunt of lack of coverage just because it is not profitable. This is the problem with taking a liberal view to the market, as indeed the Liberal Democrats had in 2012 pursuant to New Labour earlier.

 

Whilst it might appear easy to ‘ringfence’ younger people with younger issues, these are in fact issues which ‘cut through’ quite a large range of people. I ‘get that’ university fees are likely to affect predominantly people thinking about going to university imminently, but even this is not clearcut due to the mere existence of parents. The NHS is relevant to anyone for promoting health or fixing illness – or even delivering a baby. And the cut through continues for issues such as social housing too, where the purchase of a house to buy to build up your life is unaffordable.

 

The problem now for Labour is whether it develops a false sense of triumph from all of this. That would indeed be a disaster. It is true that Labour managed to make inroads last Thursday on results night in some weird and wonderful places, such as Kensington. It is overall true that Labour did in the end benefit from a ‘remainer’ vote – of people voting who perhaps saw Labour as an achievable way of slowing down a “hard Brexit”.

 

But the problem remains for Jeremy Corbyn for continuing to preach to the converted. There is an argument that ‘one last heave’ might well do it. It’s essential to remember that the Conservatives’ campaign was sensationally catastrophic. I am not sure whether it will become sufficient for Nick Timothy and Fi Hill to take the cop for the disaster, or whether the mission will creep to Sir Lynton Crosby and “strong and stable” Theresa May herself. The Liberal Democrats campaign was pretty dire too, although I don’t take away the achievement of Sir Vince Cable of returning to frontline politics. Remember it was Sir Vince’s acumen that had written off Jeremy Corbyn completely until only last week? The Liberal Democrats’ manifesto seemed to offer obfuscation for delivering Brexit, some spin on drugs of abuse, and little else. Oh yes, and it was launched in a night club surrounded by some controversy over gay sex.

 

Whether it’s shrugging off “the past”, or a failure of teamwork with some people who clearly can’t tango either, Jeremy Corbyn has become the lightning conductor for everyone else’s faults in Labour. I feel that while Corbyn has not got everything right, and I have supported him like every Labour leader for all of my adult life, he has got some of it very right. He has tried to communicate his message through his rallies when it is clear that none of the mainstream media have given him the time of day, resorting to innuendo and further innuendo. And that message is highly relevant to many people. And he offered a vision that was understandable by many – the many who understood, as Nick Timothy identified, that austerity had failed, indeed caused further problems, and was accelerating the decline of England.

 

An unknown is whether the Conservatives would have won if they had got rid of the robotic memes from their campaign and looked as if they did not wish to punish the older vote. Being a longstanding voter on the Left, I can’t help feeling the Tories are a busted flush, but it will take just one single mutation of their offering, like making their leader Boris Johnson, to throw everything into turmoil. On a more pragmatic note, the ‘supply and confidence’ relationship with the DUP is not an ideological marriage made in heaven, and a Government which only just manages to get its Queen Speech passed cannot be considered ‘strong and stable’. It is just as well that Donald Tusk and Jean-Claude Juncker always thought that the argument that an increased mandate would mean a stronger negotiating position was complete and utter bollocks.

 

The adage is of course that oppositions don’t win elections, but governments lose them. There is little more to lose from Theresa May, who somehow branded herself into a toxic brand. The reality is that all of this has happened at a terrible time, when issues such as our membership of the single market or the customs union should not be decided by a Conservative administration which has lost its majority and to all intents and purposes on life support.  I entirely get that there will be people who will never vote Labour because of Corbyn, but I can tell you hand on heart there were plenty of people in Labour who felt they could never vote Labour because of Blair or Brown.

 

The fact that Corbyn did manage to win two leadership elections, and poll a share of the vote only second to Clem Attlee, is a disaster for all those pople who had diarised June 9th as the start of the campaign to get rid of Corbyn. Of course the current MPs could take to the media studios, like they did in support of THAT chicken coup, to finish off this government. The truth remains that many of them did not get elected because they hid Jeremy Corbyn out of sight – but that Corbyn in fact spoke to their needs in a way that Tony Blair didn’t. A lot of them could pretend to support Jeremy Corbyn.  I suggest that those who want a senior job in his shadow cabinet at least make an effort to.

 

These are interesting times. What I disliked about the previous lack of support of certain journalists was the fact they knowingly were determined to extinguish my hopes as a well meaning left wing voter, but likewise there are plenty of people like Paul Mason, Steve Richards or Gary Younge who at least were sympathetic. But as far as I’m concerned it has to be water under the bridge. We now need a period of reconciliation to rebuild a country which has been savaged by war.

 

As I said, we live in interesting times.

 

 

@dr_shibley

 

 

The first general election of 2017. My experience as a young-ish ‘Corbynista’.



GE2017

I’m not a member of “Momentum”, though I was mildly amused by Andy Marr making reference to the Momentum uniform of the Royal Guards during the recent election coverage. I don’t in fact know what a ‘Corbynista’ is, though I have heard it invariably used as a term of abuse – somebody who is quite young, an ‘entryist Trot’ who doesn’t know what he’s talking about, some member of a cult supporting Jeremy Corbyn.

To disappoint you – I have consistently voted for the Labour Party at every general election since 1992. I am currently 42, and I’m hoping to make my 43rd birthday on June 18th this year.

There was a time when I thought I wouldn’t make my 33rd birthday. Well, sort of. I was completely unconscious at the time, being kept alive on the ITU of the Royal Free where it was anticipated that I would never leave the hospital at the time.

So, I can understand why relatively young people are interested in the NHS. I can understand why people of my age are interested in the abuse of zero hour contracts, or why they feel frustrated at not having had a pay rise as a newly qualified nurse for years. I can understand with the sheer fear of not being able to get a foot on the housing ladder.

I thought the manifesto proposed by John McDonnell and others was excellent. It contained ideas I mostly agreed with, and was relevant to people Labour moderates might call “aspirational”. There was an offer, for example, about tuition fees, which would have given younger people hope.

I had no problem with the manifesto. I liked it because it genuinely inspired hope not fear, and, as the meme goes, was for the many and not the few.

I think Jeremy Corbyn’s campaign was superb.

Despite this, some of the estimates of the Conservative majority were simply ludicrous – 50, 75, 100 or 125 even.

I knew it wouldn’t be anywhere near that – nor did Paul Mason, YouGov or Survation.

He had seven weeks to close a gap, and he did it. Friends of mine would sometimes say to me that they’d heard Corbyn for the first time, and that they were ‘surprised’. The one advantage of the plethora of MPs and all of the media in rubbishing Jeremy Corbyn was that they managed to set the bar for expectations so low. So, when Corbyn started closing the gap, I feel that a critical momentum was achieved, whereby some people were no longer ashamed to say they’d be voting Labour.

During all of this, there was a small but robust band of intelligentsia who could not bring themselves to vote Labour, but needed to vote Liberal Democrats. Those of us who’ve paid any attention to the Liberal Democrats knew that the visceral hatred of Nick Clegg to Labour members is torrential.

I don’t know whether the social media ever ‘converted’ anyone into anyone to voting for Labour, or ‘holding your noise’ and laterally voting for Jeremy Corbyn. I do know however it was great fun, with a strong band of people on Twitter being able to rebut virtually anything. The accusation, of course, is that this was simply furthering an “echochamber”, but many of us felt we had no choice. We felt, not to generalise, that our views were largely misrepresented or totally ignored by the mainstream media.

So, the idea of Jeremy Corbyn being an IRA ‘sympathiser’ was easy to rebut with clear explanations of how Tories had also met “unsavoury” people. A classic example of this was when Emily Thornberry asked Sir Michael Fallon what he was doing meeting Assad in 2007, when he was not even a member of Government.

I’ve never personally understood the expected efficacy of the “magic money tree” argument. Most people who support Jeremy Corbyn are well aware that the economic competence of the Tories is simply the myth. It was tacitly acknowledged that the large national debt of the country had not been well controlled. The deficit target which Sir George Osborne had set for 2015 had mysteriously been extended to 2025.

But it was not simply an issue of the existence of the money tree which caused problems.

Whenever Paul Mason was asked about the ‘magic money tree’, or indeed “Chunkymark” was, the reply would come, “Oh, don’t worry, the magic money tree does exist. It’s in the Bahamas”.

The Panama papers had been recent events, and people on Twitter were accustomed to seeing a particular prominent member of the Cabinet appearing because of her tax avoidance allegations.

I was once warned, “Shibley – be careful. It’s not just the content of what you say that matters, it’s also the style.

When I was watching the BBC Question Time event with Theresa May, I felt the content and style of the answer to the junior nurse who had been denied a pay rise for years was awful. May’s answer that ‘the money tree doesn’t exist’ showed a complete contempt of her situation, also given on the whole voters don’t do “macro”. It showed a complete misreading of the problem with stagnant wages but rising bills, what Ed Miliband might have referred to in discussion of the “squeezed middle”.

This seemed totally inconsistent with the Tony Benn aphorism, “But there’s always money for wars”. There was a fundamental issue why it seemed that the number of hospital beds was being cut, or cuts in social care were rampant, and yet somehow money could appear by magic for vanity projects such as grammar schools or HS2.

As someone who has now voted for Jeremy Corbyn twice, it was incredibly demoralising to see John Woodcock slag off the leader of my political party in public on a repeated basis, or the appearance of complete lack of interest in Jeremy Corbyn’s campaigning from Ben Bradshaw, Hilary Benn, Yvette Cooper, Jess Phillips, Wes Streeting and so on.

And yet again the media would appear the same memes – for example ‘terrorist friends’, economic incompetence (and yet not seeming to worry about the fact that the Conservative manifesto was completely uncosted), raving Trot or Marxist, ‘red under the bed’.

There’s no doubt in my mind, however, that the mainstream media overplayed their hand. There was a complete U turn from Polly Toynbee, but frankly my dear I don’t give a damn. It was far too little too late. Owen Smith MP who was effusive with praise for Jeremy Corbyn had spent months last year trying to take Jeremy Corbyn to the cleaners politically, and failing.

I do think there were people who are genuinely unsure though. I felt this with Owen Jones, who was faultless once the general election was imminent.

The irony now with all the terrorist friends accusation is that the Conservatives need somehow to form an arrangement with the DUP for survival. And it is a fact that all the seats provided by the progressive alliance would not be sufficient to get above the magic number of 326. The argument that Jeremy Corbyn’s appeal was restricted is tempered by the real fact that he obtained a share of the vote only bettered by Clem Attlee.

Everywhere you looked, the Theresa May campaign looked desperately out of touch – Trident, for example, is of limited use in a NHS cyberattack or a terrorist in a built up metropolitan area.

I don’t think many people are sitting down to dinner to discuss Nick Timothy or Fiona Hill. But the conversation topic of how Theresa May spent £130 million to conduct a referendum on herself and lost might come up. It was May after all who demanded a stronger mandate to start the Brexit negotiations. She now has fewer parliamentary seats, the programme for Government will be presented in only a week’s time, and has become a mammoth laughing stock as far as Juncker and Tusk are concerned. Whatever is unclear, it’s pretty clear her negotiating position as regards the DUP or the European Union is the opposite of “strong and stable.”

The Theresa May campaign, from the perspective of a junior ‘Corbynista’, was the worst in my lifetime. I can’t remember anything as catastrophic as the Dementia Tax ever, which was a ridiculously partisan non-solution to a highly complex and important issue of the funding of social care.

The whole flavour of the Theresa May campaign was excruciating to watch with highly robotic and wooden sessions in what appeared like random derelict factories in England. The vernacular “strong and stable” and “coalition of chaos” jarred with the image of Jeremy Corbyn actually looking as if he was enjoying himself. The TV images of this rallies might have been motivating, but I am certain that they were highly motivating for some of us in the social media world.

The Tory Party is ruthless when it comes to its leaders. I think Theresa May’s days are numbered and the issue is whether she will have to delay the negotiations. I don’t believe for a second Theresa May will do the negotiations herself – the negotiations involve complex law, which she simply is not up to.

Theresa May did not give a resignation statement – quite the reverse, it was utterly delusional.

Delusional is when you don’t believe your police cuts are relevant to security.

Delusion is when your immigration targets have not been met ever.

“Now back to work.”

So, while I have no doubt that the Labour moderates are continuing to send their secret emails, and Peter Mandelson is campaigning every day still to get rid of Jeremy Corbyn, I feel extraordinarily happy. Whilst we didn’t officially win, many of us definitely have the feeling we could win – and this matters – if certain people do not continue to undermine us maliciously. Time will tell.

 

@dr_shibley

 

 

Hazarika, Woodcock and Watson are politically the pits but well done Jeremy Corbyn



TW

A swing to Labour in Enfield?

No thanks to the ” solidarity ” of Ben Bradshaw or John Woodcock.

John “Labour is on course for a catastrophic defeat” Woodcock.

Yes – I deeply dislike you. I have no intention of ‘ uniting ‘ with you, mate.

Well done to others who tried to kill off Jeremy Corbyn but who kept their seats.

I have no respect for you either.

I won’t lie about this.

I can’t say I give a toss about Ayesha Hazarika’s pathetic apology for “getting it wrong”.

I am fuming at a number of people in our party who have done nothing other undermine the leadership of Jeremy Corbyn, John McDonnell and Diane Abbott in the Labour Party.

Thanks to Hilary Benn’s “coup” of sorts, where we wasted months going through a pointless leadership contest for no reason apart from making Jeremy Corbyn ‘bulletproof’, for making us a complete laughing stock.

Yes – that’s right Jeremy’s electability was needed to compensate for all this incompetence from Blairite moderates.

I have voted Labour all my life.

I am 43.

I am totally disgusted at the 172 MPs who stuck the knife into Jeremy Corbyn. We then as the membership, some of which are loyal supporters of Jeremy Corbyn, have suffered gratuitous humiliation on a regular basis from the vast majority of journalists in the Guardian except from Gary Young.

Polly Toynbee has been worse than useless in supporting Labour through the pages of the Guardian, though she did managed to put in a feeble last minute support for Labour.

Yes, the manifesto was brilliant. The policies were socialists but they were popular.

The NHS and social care have been totally unaccountable for their poor performance, despite the staff working extremely hard to keep the NHS safe. This has been nothing short of a miracle, but virtually no Doctor I know has faith in Jeremy Hunt. If he were a doctor, the General Medical Council might haver him referred for compromising patient safety.

And Ayesha Hazarika has done nothing but carp relentlessly and I’m sick of it.

Time for Tom Watson MP to go. He may have given a rousing speech which was wdelcomed in the Labour conference, but I currently have got ten friends who’ve blocked him on Facebook and can’t stand the common perception of his lack of support for Jeremy Corbyn.

We’ve all been fighting for the reputation of the Labour Party despite the pathetic specimens of MPs above.

I’m a remainer.

The Tories are for the time being are sxrewed, but they will rise like a phoenix from the ashes again.

Believe me.

But we must get down to business in Labour – a new leadership contest for Deputy Leader.

And Luke Akehurst can plot his next revenge attack.

Tom Watson, your time is up.

@dr_shibley

It is worth remembering that Theresa May could still be on course for a landslide



T May

Much as it offends my sense of natural justice, it’s still entirely possible that Theresa May is on course for a landslide.

We’ve been told from the horses’ mouths themselves, for example Ben Bradshaw MP and John Woodcock MP, that their strategy has been to tell potential voters to vote Labour. The reason is, “It won’t matter, as Labour doesn’t have a cat in hell’s chance of becoming elected.”

Of course this strategy was easier to sell on the doorstep with such a large polling lead of the Conservatives over Labour.

The experience of the 2015 general election and 2016 EU referendum reinforced the position, as well as the election of Donald Trump, that the polls are ‘unreliable’. The gold standard is what people actually do when it comes to the ballot box.

Of course, there are sorts of reasons why people might not tell pollsters the truth until the last minute. It could well be that there is a swing in the polls, and it happens at the very last minute. There is some evidence, albeit somewhat anecdotal, that this might have happened previously.

There are other reasons – in various combinations, such as the weather, voter turnout, and whether members of the public fundamentally lie to pollsters.

We’ve all been there before where we have seen the dreams of our political parties evaporate as the real results came in. 1992 and 2015 were good examples in my lifetime where I thought Labour was ‘in with the shot’.

But Lord Spencer Livermore and various others have opined on this in slight permutations that the campaign does not fundamentally alter the mood music of the way that voters are feeling.

It is noticeable that in the overwhelmingly negative rhetoric used by Theresa May there has been consistent reference to ‘trust’ – articulated invariably as ‘if 172 Labour MPs can’t work with Jeremy Corbyn, how can he become Proem Minister?’

I have no idea what has been going through the minds of these Labour parliamentarians, save for the fact that the ‘snap general election’ might have caught them by surprise. If they had “trusted” Theresa May, there would be no reason to believe she would go back on her word by wriggling out of the Fixed Term Parliaments Act.

However, beware the ideas of March – or in this case May. Theresa May had a perception of a healthy poll lead, so why wouldn’t she ‘go for it’? After all, it is well known that Gordon Brown “dithered” after what has hailed as a good budget by George Osborne, and stumbled on to lose the 2010 general election.

The question of trust in Theresa May is of course nonsensical, given all sorts of others which have materialised, for example costing school dinners or the lack of decrease of inward immigration despite numerous pledges, or failure to meet the deficit targets, but again this election swings onto trust again and again.

That is why, I assume, Sir Lynton Crosby has been getting people to bang on about that Nick Ferrari interview with Diane Abbott, or the Emma Barnett Woman Hour’s interview Diane Abbott, or the Sophy Ridge interview with alleged ‘terrorist sympathiser’ connections of Jeremy Corbyn.

Somehow this torrential avalanche of innuendo, from a Tory sympathetic media, it has been hard to displace, even with the ‘power of social media’, the actual news of catastrophic news on school funding, nurses’ pay, repeatedly missed NHS targets, and so on.

As an example, the lasting memory of Jeremy Corbyn’s ‘Question Time’ debate with Jeremy Corbyn is not a sober, detailed analysis of what had happened in London 1 and Manchester, nor what was about to happen in London 2, but the memory of ten White middle aged men fantasising about a nuclear war with Iran – and “would he or wouldn’t he” press that red button?

It could well be that Theresa May’s dreadful electioneering performances don’t matter. It might indeed be the case that she wins despite Jon Snow not having got an interview off a sitting PM for Channel 4 News for the first time in 14 years.

It could well be that many voters remain ‘undecided’ or positively antagonistic about Jeremy Corbyn, Diane Abbott or John McDonnell, despite the well attended Labour rallies reinforcing the idea of ‘movement’ – snd that Jeremy Corbyn will in fact go the same way as Michael Foot who also had well attended rallies.

It is worth noting, however, that the Labour 2017 manifesto has, despite the usual criticisms of fantasy economics, not been dubbed “the longest suicide note in history”, as allegedly coined by the late Sir Gerald Kaufman.

It could well be ‘Tory arrogance’ that Theresa May wins for an enhanced ‘mandate’ in the Brexit elections.

It could well be that she wins with a landslide – even if that means ‘hard Brexit’ and the NHS and social care collapsing further within five years.

@dr_shibley

Theresa May’s campaign is the pits



pa-31522154

As for last night’s debate…..

For all the criticisms of Jeremy Corbyn’s “incompetence”, Corbyn managed to nail it today. He referred to Theresa May as inciting “pumped up animosity”. Theresa May has not been able to give even the most basic details about what future cuts are in store from the failed austerity of the Conservatives, nor what ‘no deal’ in Brexit without inclusion in the EU single market would actually mean.

 

The Conservatives are now very exposed indeed. Every one should be concerned about the lack of vision of Theresa May for the future of this country. And to be honest quite a few people have not treated with Jeremy Corbyn with the respect he clearly deserved as twice democratically-elected leader of the Labour Party. Journalists are incredulous that Jeremy Corbyn has staged an ‘astonishing comeback’, but to be fair to Team Corbyn the narrative was likely to change if the narrative switched from personal attacks on Corbyn to a focus on policies.

Take Carville’s “It’s the economy stupid”.

Even that rule book is in tatters through exposing the truth about Tory economics.

As for the ‘rule book’, Jeremy Corbyn has thrown out the doctrine that campaigns are irrelevant – something which Spencer Livermore is said to believe in. The argument goes that if the mood music has been sustained for long enough no amount of campaigning will make a difference. This is of course what the toxic parliamentarians in the Labour Party has relied on. They had hoped that Jeremy Corbyn would put in such a disastrous performance in this snap election that getting rid of Corbyn would be like taking sweets off a child following the result on June 9th.

 

The latest poll finds that Labour is closing the gap with Tories and now stands just three points from Theresa May’s party, a new YouGov poll shows. The poll, commissioned by The Times, found the Conservative lead has slipped dramatically in recent weeks and is now within the margin of error. I am deeply ashamed of the reaction to Emma Barnett, but that interview for me shone out for how Jeremy Corbyn dealt with, with dignity, to not knowing a particular election costing. Barnett’s attitude appeared to be one of someone wanting to slip you up and humiliate you, and I very much oppose this. This is the same approach which saw the parliamentary Labour Party in large part 2015-7 decide to strangle Corbyn’s leadership rather than nurture it.

 

The figures show the Conservatives on 42 points but Labour are close behind on 39. This has only been possible from the barrage of lies from the Tory media. Meanwhile, the Liberal Democrats are struggling to maintain the momentum of their “fightback” as they slip to just 7 per cent vote share. Based on last night’s ratings, it was calculated that Theresa May was knocking on at least 648 doors a second to have the same reach. May is already in a worse situation even she wins the general election, as her brand has been exposed for what it is. An uninspiring, shower of a shit-storm of boredom. Could throwing away a 20% poll lead soon mean for Theresa May that “exit means exit”? The knives are certainly out.

 

The fact that Sir Lynton Crosby has taken sole responsibility for the election, according to Newsnight’s Nicholas Watt, and when Crosby tells them all to jump the only query is ‘how high’, means that Theresa May has become nothing other than an actor speaking her lines. And if Theresa May stays as PM, as the continuity candidate, Jeremy Hunt will continue to dismantle the NHS. May will lie at any cost to keep her job. She maintains the myth that she will be conducting the negotiations, when it is clear that someone else like Boris Johnson or David Davies will do it. Corbyn has clearly already said that Sir Keir Starmer QC would lead the negotiations for the Labour Party. The campaign does matter. Jeremy Corbyn is now London’s favourite candidate. The policies of the Labour Party are more popular than those of the Conservative Party.

 

I couldn’t agree more with John Prescott. The #BBCDebate showed us the Conservatives with their non road tested ‘leader in hiding’ making any old stuff up, talking about a long term plan without actually having one. Theresa May’s ex-communications chief has penned a devastating critique of her former boss’s botched social care U-turn, which knocked the Tory election campaign off course. Katie Perrior said the ground should have been laid to publish the policy weeks in advance, but it was instead “whacked out in a manifesto and briefed the night before”. She also said those in charge of the Conservative campaign had failed to manage lofty expectations of a landslide when it first launched.

 

The whole campaign of Theresa May has had the content and style of a bucket of cold sick. “Strong and stable” Theresa May is instead “Incredibly dull and robotic”, with stunning U turns on whether to call the election, or the Dementia Tax. The Conservatives are riding on a stench of entitlement and arrogance, which means they don’t care that their school meals are costed at 7 p per person. All of this does leave an impression about what kind of a leader Theresa May can be for us. As someone noted earlier from ITV, she actually refuses to answer any questions (for example how many people will have their winter fuel allowance taken away, or what the upper cap of the Dementia Tax will be.) Theresa May thinks that the voters can yet further cope with a week of more of this drivelfest. It is possible that some basic mixup of communication meant that Theresa May simply got her wires crossed, and did not turn up to the Senate House in Cambridge because the event was not being held in a cold warehouse or factory with pre-packaged Tory stooges. It’s actually even worse than that.

 

For all the criticisms of Jeremy Corbyn’s leadership, the expectation for Corbyn was set so low that Corbyn’s subsequent performance has subsequently been hailed as incredible. And for Corbyn’s supporters he is genuinely worth supporting. On the other hand, but Theresa May gives a strong impression of NOT wanting to answer questions directly and even telling the truth. I don’t know about you, but if I didn’t show up to the job interview, my prospects may be limited. If Theresa May does not happen to win the general election or to increase the size of her majority, questions will be asked about whether her ‘no show’strategy was fair to voters. On a practical point, one is entitled to think May stayed away from the #BBCDebate because every time she opens her mouth the polls for Tories drop another a few points. Her performance is genuinely shambolic, and this is of no particular surprise as she has not ever been properly ‘road tested’ apart from the Conservative Party and Laura Kuenssberg.

 

But in the real world, Theresa May is shambolic. Right wingers are obviously entitled to claim that last night’s audience was left wing biased, presumably because there wasn’t a fair number of Saudi Arms dealers. But in ComRes’ defence, the demographics of the audience had been meticulously worked out. A big problem now is that Theresa May is seen as a weak leader, as she couldn’t be bothered to turn up to the #BBCDebate. She therefore has no moral authority to attack Jeremy Corbyn for his leadership, when in fairness Corbyn’s answers on leadership (ranging from not being a dictator to the importance of listening) have been impressive. People are now not laughing with Theresa May, but laughing at her. The lady is not even for turning up.

 

Yep it is incredible that she’s busy losing the biggest lead in election history.

Even Corbyn ‘dark past’ smears are now longer working with an electorate who are more worried that the Tories wish to continue with their disastrous NHS and social care policy without batting an eye lid. With all the added scrutiny, the Tories and their journalists are not so vocal about their support for Apartheid quite so much any more.

 

Amber Rudd was laughed at during the #BBCDebate when asking the audience to trust the Tories “on our record”. Caroline Lucas, who is fast being recognised as a leading light in the new progressive alliance, was right to allude to how defending arms sales to Saudia Arabia as a strong economic benefit is a perfect illustration of how Tories value profit over people, and is morally indefensible. I agree that many people probably know little of the ‘money tree’ apart from a stick with which to beat the Labour Party. But a party which has progressing towards doubling the national debt in recent years is not in a good position to lecture on basic macroeconomics. The UK economy due to the flawed foundations of George Osborne, of poor productivity poor employment rights ‘gig economy’ is currently a busted flush, as today’s disastrous global figures how.

 

Voters are no longer falling for these pumped up lies from the Tories on their economic policy – for instance, economic growth, two words absent from Tory economic policy, act as ‘a money tree’ as does fair and equitable redistribution of income/wealth. Drinkers at the last chance saloon toasting to fundamentalism of supply side economics have received their last orders. The real money tree is well known to many victims on the left of course. These include dozens of Tory donors ending up on the Sunday Times rich list, Tories turning up in the Panama papers, a deficit not fixed not predicted to be fixed until 2025 now despite of cuts, 4 out of 5 NHS trust in deficit, a Tory manifesto where the only figures are the page numbers, and billions lost in tax avoidance and evasion. Theresa May is a busted flush. 

“The first rule of leadership is to show up”, as Caroline Lucas said.

The policies are popular of the progressive left are popular, and the contrast with the ideologically barren Conservative Party could not be more stark. The proposed programme for government for the Labour Party is as Angela Rayner alluded to is a continuation of ‘unfinished business’ from the previous administration of the brilliant Clem Attlee, who made the NHS a reality, introduced child benefit, nationalised the bankrupt private railways and introduced free secondary education as a right, and many other staggering achievements.

There is no vision with Theresa May.

She is deeply dull and boring.

I feel quite sorry for the person on Twitter who thinks “lefty” BBC is funded by the European Union. I can only assume that he is not paying his license fee. It is of course deeply patronising of Tories and the Daily Mail to tell us #BBCDebate was biased. We can judge that ourselves.

It is now patently clear that too much right wing opinion dressed up as news. And some news or opinion is being given a disproportionate amount of attention. The fact that UKIP are given such platform without an MP at all lends UKIP a credibility they do not deserve. The idea that the #BBCDebate was merely “echo chamber for left-wing views” is entirely risable.

The ConKip brand most definitely has very limited appeal.

Theresa May is trying her very best …

.. to completely blow this election.

 

 

@dr_shibley

Click to listen highlighted text! Powered By GSpeech