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I am basically a member of the UK Labour Party. I thank the late Baroness Thatcher, as I found her administration repulsive. I think though her greatest achievement was toxifying the Labour Party, and we are slowly making up for lost time. It is clear that some people are sick of being enslaved by financial markets, while some people seem to be doing extremely well, thank you. The way that the sick and disabled have been treated by the Liberal Democrats working for a ‘fair society and strong economy’, The annihilation of legal aid in their bid for a ‘fair society’ equally repels me. in conjunction with their Conservative masters disgusts me. In the Wartime coalition, Labour criticised the Conservatives’ policies and got credit for it. Instead, the Liberal Democrats have bent over backwards so much it hurts. They will reap what they so. We seem to have enough money to go to war, but not enough money to keep an adolescent with mental health problems out of a police cell for a night. The economy is clearly screwed, with falling tax receipts, in a race to the bottom with zero hour contracts favouring hedge funds and employers who don’t give a monkeys about workers’ rights. I have never seen David Cameron eat a bacon butty, but I don’t think I would like that either.

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



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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

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



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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’.



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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



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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



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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



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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

Theresa May’s team must be congratulated on a dire campaign which has failed to inspire



Policeman At No. 10 Downing Street, UK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Theresa May’s team can be congratulated on achieving one thing in particular.

 

That is, her team have produced an incredibly boring campaign.

 

The campaign can best be summarised as, ‘Vote for me because I’m not Jeremy Corbyn’. And – given the historic state of the opinion polls, and the past behaviour of the rebellious Labour MPs, this might have seemed like a bullet-proof strategy.

 

I’ve voted Labour all of my adult life. I am aged 43. I have indeed voted for Tony Blair’s national government three times. I’ll be voting for Jeremy Corbyn.

 

I apologise. I can’t write very well.

 

The Head of English at my school once wrote on my term’s report: “Shibley sometimes has very interesting things to say, but his approach is very vernacular.”

 

I was so disappointed, I looked up what ‘vernacular’ means.

 

It means ‘wooden’.

 

And that’s exactly how I feel when I see Theresa’s team campaigning – it feels ‘wooden’.

 

When I hear the phrase ‘strong and stable’ robotically activated, I despair.

 

I know people are on the whole uninterested in politics, but even a cursory glance at Theresa May’s record identifies her lack of strength and stability as a political force.

 

One is reminded of Groucho Marx’s famous saying, “Those are my principles, and if you don’t like them… well, I have others.”

 

And May has done U turns which are too many to mention: like the funding of school dinners, whether to hold an election at all, whether to leave the European Union, and so on.

 

Whatever is the truth, I am in no doubt it is the public perception that matters.

 

When Gordon Brown ‘dithered’ about whether to hold an election or not, the media were flooded with complementary similar stories about how he cannot make his mind up about ‘dunking’ Hob Nobs.

 

And when you would have expected Theresa May to be ‘strong’ in defending an ideological stance, which indeed some in her own party will support, there’s not a “sausage”.

 

I am no clearer now than when the Conservative manifesto was published about why it is not a good idea to socialise the risk of getting a long term disability such as dementia – and we should make people with lots of money pay with their houses albeit after their death.

 

Theresa May has made it all about her.

 

You may dislike Jeremy Corbyn’s ‘style’ . Indeed, you don’t know how many times I have come to close to throwing rotten tomatoes at my TV set when he gets ‘angry’ when on his rallies.

 

But the content of Jeremy Corbyn is clear enough – whether you find it agreeable or not.

 

There are, however, reasons to be not so cheerful at Theresa May’s ‘strong’ style of communication.

 

Do you remember how she talked around the subject of whether a Trident missile had been misfired in the sea?

 

Or do you remember how she refused to explain, several times, how new money would be made available to the NHS?

 

To all intents and purposes, Theresa May seems to be ‘just about managing’ to keep her show on the road.

 

There can be no doubt that, even if one has grave reservations about the messenger, Jeremy Corbyn has sufficient patriotism and pride in his country not to see the NHS, social care, housing or schools go to pot in the next five years.

 

The narrative had been in 2010: “Give us a chance, and we’ll fix the economy. And you’ll live happily ever after.”

 

And despite valiant efforts from the BBC and Sky, and some judicious use of ‘smears’, this has clearly been outed to be a complete lie.

 

We have ‘paid’ through the roof for austerity – some more than others, ask any families of disabled citizens who have committed suicide because of the welfare reforms.

 

And national debt has gone through the roof.

 

Margaret Thatcher always used to talk of her ‘strong foundations’, but it is crystal clear that George Osborne’s legacy, apart from a personal knighthood, has been a gig economy kept alive through poor workers’ rights.

 

And look at the state of A&E departments nationally.

 

Whilst the opinion polls were so bad for Jeremy Corbyn, in no small part due to the monstering Corbyn has had from all parts of the mainstream media, it has been easy to maintain the ‘Corbyn is incompetent’ narrative.

 

But the ‘Theresa May is incompetent’ narrative is much more damaging for the Conservatives.

 

If the Conservatives’ campaign is indeed all about her, it does matter if her answers to Andrew Neil as a whole are catastrophic.

 

I have racked my brains about how people who dislike Jeremy Corbyn feel.

 

I think their last throw of the dice was ‘unleash Corbyn’ in the hope that once the public truly saw what he was made of they would instantly find him repulsive.

 

People who dislike Corbyn genuinely find themselves between a ‘rock’ and a ‘hard place’.

 

The argument has long been: “He is unelectable” and “We can’t get rid of him.”

 

The “He is unelectable” mantra has been thrust at every opportunity – whether in the Manchester mayoralty race or the Stoke by-election.

 

And while Corbyn does seem to tap into something, it might indeed be difficult to get rid of him.

 

And that’s ironically where it all started.

 

Angela Eagle MP said it was all about ‘real leadership’, but few people can criticise Jeremy Corbyn for putting a good effort in a resilient performance despite having to re-invent his shadow cabinet several times.

 

And the leadership is authentic – and now we know it has a vision (whether you agree with it or not).

 

The wheels of the alternative vision are rapidly falling off – Nigel Farage is increasingly looking like a used cars salesman off ‘Only fools and horses’ and Katie Hopkins has ‘left’ her LBC show by ‘mutual agreement’.

 

With two weeks to go – there is all to play for. The disadvantage of the poll lead narrowing for Theresa May is that Tory voters will know that they cannot necessarily take victory for granted.

 

I must thank my friends and colleagues at this point, finally – including Paul Mason, “chunkymark”, Steve Topple, Dr Éoin Clarke, to name but a few.

 

Barry Gardiner, Angela Rayner, John McDonnell and Rebecca Long Bailey have tireless in interviews.

 

And also Liam Young – who has, even when Corbyn’s made was truly ‘mud’ – has heroically put the case forward for Jeremy Corbyn for many months now on the Independent.

 

That is where Owen Smith and Angela Eagle got it so badly wrong.

 

The strength in the Labour leadership is its collective nature. If you look at Theresa May’s team, you’re hard pressed to identify the other strong players – such as Boris Johnson or Phil Hammond?

 

There is something we can all learn from the damp squib nature of the May campaign.

 

But if she happens to win, there’ll be a lot of soul searching by many.

 

 

@dr_shibley

 

 

 

 

 

 

 

 

 

It’s time we spoke about ‘the dementia tax’ a bit



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None of us know for certain what medical problems we’ll have, when or how they’ll be manifest.

Even precise genomics won’t be able to give us the full answer one day.

We all know there is a problem somewhere.

There’s been relentless messaging like ‘grey tsunami’ and ‘dementia timebomb’, reinforcing the notion that the ‘aged population’ (and immigrants) are the root causes of all that is wrong with Britain.

You know when things are bad for the Conservatives when they have to resort to “Google ads” to divert your Google search for the phrase “dementia tax”.

I’ve resisted from commenting on the ‘dementia tax’ as I have voted Labour all of my adult life. This means that I have voted for Tony Blair’s national government three times, and I intend to vote for Jeremy Corbyn in about twenty days’ time.

There are about 900,000 people living with dementia currently in the UK. I am united with them, not united against them.

I am also an academic physician in dementia and frailty. Nonetheless, I am loath to get involved in participating in participating in a highly emotive debate.

The issue which has caused the furore is essentially to do with elderly care. The media have not really helped by their conflation of ‘elderly care’ and ‘social care’. For example, social care is not just about ‘old people’. And the policy proposal conflated with ‘dementia tax’ is not entirely helpful either as not all people living with dementia need hugely excessive care costs and indeed dementia can affect young people.

But onto the actual heart of the issue.

I was left feeling that this policy announcement was either one of immense incompetence or sheer cunning from Theresa May, parliamentary candidate, and her inner circle reported to include Ben Gummer and Nick Timothy. The only reason at all we’re “taking a second look” is because the Tories themselves, and substantial parts of the Tory media, have complained about it.

The starting point is that the divide between ‘health’ and ‘social care’ is an untenable one.

It cannot be morally acceptable that cancer and dementia are viewed differently – cancer as a health issue will not cripple you financially like dementia as a social care issue. Also, many conditions, considered ‘health conditions’ such as emphysema, might have a formidable social care component, say if accompanied by physical disability.

Also – dementia very rarely ‘travels alone’. A person with dementia with substantial care needs is likely also to be living with various medical co-morbidities.

It can hardly be expected that good policy will come out of a general election announced at shotgun notice. After all, we’ve had countless and commissions looking at the same thing, all producing imperfect conclusions.

This new proposed policy on elderly care, conversely, does not appear to have come out of any policy commission. But ‘seemed like a good idea’.

And this contribution is not only disappointing in itself, but also in that it was signposted as a massive new contribution, so much so there was nothing substantial in the Budget.

As a society, the social contract between us individually and the State is that we all pool risk together.

We as a society decide not to punish financially those who get unwell through no fault of their own.

I can see exactly why this new policy is going down like a plate of cold sick on the doorsteps. It goes against a generation of people encouraged by Maggie Thatcher to buy their own houses.

Now the equivalent value of the house that people have saved for will now be surrendered to pay for the event of huge care costs.

In a way, these Conservatives are being disingenuous in that they would prefer to be bailed out by the State against excessive social care costs rather than using their money in an entirely individualistic way.

This is the policy as stated in the Conservative manifesto 2017.

“Under the current system, care costs deplete an individual’s assets, including in some cases the family home, down to £23,250 or even less. These costs can be catastrophic for those with modest or medium wealth. One purpose of long-term saving is to cover needs in old age; those who can should rightly contribute to their care from savings and accumulated wealth, rather than expecting current and future taxpayers to carry the cost on their behalf. Moreover, many older people have built considerable property assets due to rising property prices. Reconciling these competing pressures fairly and in a sustainable way has challenged many governments of the past. We intend to tackle this with three connected measures.

First, we will align the future basis for means-testing for domiciliary care with that for residential care, so that people are looked after in the place that is best for them. This will mean that the value of the family home will be taken into account along with other assets and income, whether care is provided at home, or in a residential or nursing care home.

Second, to ensure this is fair, we will introduce a single capital floor, set at £100,000, more than four times the current means test threshold. This will ensure that, no matter how large the cost of care turns out to be, people will always retain at least £100,000 of their savings and assets, including value in the family home.

Third, we will extend the current freedom to defer payments for residential care to those receiving care at home, so no-one will have to sell their home in their lifetime to pay for care.”

In other words, the ‘family home’ is vulnerable, even if it is not during the course of your lifetime.

As an academic physician dealing with dementia, I have been struck with the difference between global policy from the United Nations and World Health Organization and the cheereladers of English charity on ‘dementia friendly communities’. In global policy, the notion of enhanced care at home or supported living, as part of the United Nations sustainable development goals, is actively embraced. However, the model of dementia friendly communities is predominantly one large charity in England endorsing their model of what a dementia friendly community is, with symbolic recognition of how dementia might bring Nudge-eque competitive advantage (e.g. dementia friendly leisure, shopping, banking, tourism), to the point that the relentless cuts in social care and NHS (unmatched for demand) have become an eyesore in the PR that ‘the UK will the best place to have dementia”.

There are only 8 years until David Cameron reveals his cure for dementia as part of the 2012 Prime Minister’s Dementia Challenge. But I expect Cameron’s cheerleaders ought to be and will be held to account even this means through the academic version of pitchforks.

The English dementia policy is entirely in keeping with a Small state ideology, with contraction in the promotion of clinical specialist nurses, a cure ‘round the corner’, and the annihilation of social care.

It is tragic that the social care profession has had its wings clipped, when it could be given the resources to enable and protect people diagnosed with dementia and care partners.

But the Prime Minister Dementia Challenge also failed in the way it did not adequately recognise dementia advocacy services. This is ironic, given the proliferation of an added tier of rent-seeking middle men involved in the vague concept of ‘dementia awareness’.

This advocacy was, and is, essential for advising for people who lose legal mental capacity. At a time when global and international policy is overall preferring people with dementia to make their decisions known at a time when they retain capacity, as opposed to a third party making the decisions for them, it is shocking that England is in such a parlous state with dementia advocacy. Dementia advocacy, from regulated professionals, was and is essential for people with dementia upholding their legal rights, especially when the State might be interpreted as overzealous in taking these rights away – see, for example, the deprivation of liberty safeguards.

I fully agree with the desire to close the ‘diagnosis gap’. For people with dementia to live better after diagnosis for longer, they should be diagnosed at the last minute.

In my experience, in answer to the question ‘what do you want ideally?’ to a person with dementia, I receive the answers ‘hope’ and ‘time’.

If dementia services had properly matured after 2012, with the same ‘accelerator’ fervour so rampant from Pharma, medical advocacy through colleagues in palliative care might see advance care planning to be seen as routine and acceptable, rather than odd ball and luxury.

Advocacy would also have protected the human rights and democratic citizenship of people with dementia. The attack on the human rights legislation is one thing, but at the moment “contained” in as much as Theresa May does not wish us to leave the European Convention on Human Rights.

But people with dementia, if/when they lose the ability to make decisions according to the Mental Capacity Act, need some degree of protection. Indeed, the Care Act (2014) contains useful statutory guidance on safeguarding.

Theresa May in her 2017 manifesto has introduced unfortunately another element requiring safeguarding. Her policy effectively is one of equity release, with delayed payment, until proven otherwise.

An example of current guidance, for example, on this is this:

“A deferred payment agreement is an agreement with us which could help you to use the value of your home to fund residential care costs. If you are eligible, subject to the council being able to obtain a first legal charge over the property, the county council will pay a sum agreed during your financial assessment towards your residential care home fees on your behalf. You can delay repaying the council until you choose to sell your home, or after your death. The amount you are assessed as having to pay for your care and support is delayed and not ‘written off’. The costs of your care and support will still have to be repaid by you or someone on your behalf at a later date either when you choose to sell your house or 90 days after your death.”

However, for the first time, this rule will now also apply to so-called domiciliary care – care at home – if the Tories win the election.

All of this is the end result of market failure from successive governments. There is no yearning for a private healthcare insurance market which is contracting rather than expanding.

This policy offering from the Conservatives is most dangerous because at first it had no upper cap. Now that, as of yesterday, there is a cap, but we don’t know what the cap might be even after questioning. And this cap is necessary to make sure there is some State intervention in excessive care costs.

Closing the ‘diagnosis gap’ is fine as long as people with dementia are given the proper care and support following diagnosis. It is clear that there is still much to be done, despite “Cameron’s cheerleaders”. To give you an example of how problematic English policy is at the moment, look at how the NHS Transformation Network “The well pathway for dementia” simply omits “caring well” from its structure.

With no upper cap, the State is in a position to repossess your house at some later stage if you need to pay for care costs.

The State will argue that it will guarantee you do not lose more than a modest sum in the process, but the devil is altogether in the detail.

Who for example is going to pay for the surveyors’ costs of your family home? Which lawyer, given the annihilation of legal aid following the Legal Aid and Sentencing of Offenders Act 2012, is going to help people with the legal paperwork which accompanies this?

The ideal of universal coverage is that we all put in and it’s luck of the draw what we pay out. Some people indeed hardly ever need to use the NHS or social care. But as a society we should worry, whatever political allegiance one is, about a policy which clearly acts to the detriment of a group of people because of their medical diagnosis, such as dementia?

But this is a policy which clearly benefits those involved in the private home equity release financial products, and where there are potential conflicts of interest from Government and “associated persons”, it would be helpful if these conflicts could be clearly identified if transparency is indeed the best disinfectant.

It happens that this is a policy which acts to the detriment of a protected characteristic under the Equality Act (2010), and is therefore potentially unlawful for indirect indiscrimination. The label “dementia tax” has somehow stuck, and is extremely effective during this general election period, but is not strictly speaking wholly accurate.

The Tory manifesto policy proposal does nothing to bring integration of health and social care closer (though this criticism by some was also made of the Dilnot recommendations). It also fundamentally does not address issues of quality of domiciliary care which could be affected by a number of disparate factors, such as implementation of the national living wage, lack of financial reimbursement for carers, ‘burnout’ of carers, abuse through zero hour contracts, poor financial sustainability of healthcare providers.

The Brexit induced by the Tory government 2015-7 has advantages and disadvantages as far as this policy is concerned. Firstly, if there were some delay in implementing this policy, the legislation might escape the EU gender directives (we know that more women on the whole are affected by dementia, so by escaping EU anti-discrimination law private insurance companies can ensure that women pay higher premiums to offset problems in paying out). Secondly, there might still be problems in getting enough people to be prepared to be paid carers if the UK stops free movement of workers.

The Tory manifesto proposal is sick as we don’t pool risk in the same way we do for the NHS, and yet the divide between health and social care is untenable. And definitely doesn’t address the problems so inherent in the lack of integration between health and social care, such as delayed transfers of care.

The sad thing is – I expect at the end of all this we won’t be much further forward. But at least some attention on social care, as opposed to the vast amount of attention normally given to the NHS, is welcome.

 

@dr_shibley

Mayism is dead. Let’s give this political mayhemism nil points, and move on.



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We now know that if Ed Miliband indeed had a million conversations at the time of the 2015 general election he was not very good at acting on the answer.

 

Before Jeremy Corbyn came along for the (two) leadership elections, the Labour Party was immersed in a smorsborg of banality.

 

Let me make a powerful confession.

 

I support Jeremy Corbyn.

 

This doesn’t make me a Corbynista or Corbynite. I am interested in winning elections. That would be totally counter-intuitive, IF I were interested in politics and I was disincentivised by success.

 

Please don’t hate me.

 

There has been a cruel, vindictive criticism that people who ‘follow’ Jeremy Corbyn are in a cult.

 

First thing to say is that it is not uncommon for leaders to have followers.

 

Second, Corbyn would not be the first person to want to be popular.

 

Look at Tony Blair and Peter Mandelson who were ‘intensely relaxed’ about being chummy with friends in the City or Republicans in the United States.

 

And talking of cults.

 

What is Mayism?  Journalists were so busy fawning over Theresa May at the launch of the 2017 manifesto document, they embarrassingly forgot to listen to the answer.

 

The answer, incidentally, began in a Thatcher-esque baritone, “There is no such thing as Mayism”.

 

Soon there’ll be no such thing as society – nor even the United Kingdom, if the Conservatives carry on with their direction of travel.

 

As it happens, I don’t think Corbyn likes rallies because he is ‘popular’. He is probably happy with ‘preaching to the converted’ as his narrative is genuinely what he believes in. His voting record shows that.

 

Corbyn recently made it clear he gets paid generously for what he does, but more or less implied he gave it away to good causes without saying so as much in a recent TV interview.

 

My late father used to warn me that bad dancers always blamed the floor – that is when I tended to blame anyone but me for my triumphant mistakes.

 

But it is true that the David Cameron and George Osborne era has largely escaped meaningful criticism.

 

That is even though the legislative reforms of Lansley on the NHS or Iain Duncan Smith on welfare reforms have been both costly and catastrophic.

 

All the people who spend everyday criticising Jeremy Corbyn in the Guardian should remind themselves of where Labour came from in 2015.

 

At the time, David Miliband’s reaction to the general election was “We need to own the future. We turned the page back when we should have turned the page forward.”

 

And meanwhile Tony Blair said, “We must own the future. We must make the future our comfort zone.”

 

To give Blair credit, there were some very important achievements too in his period of government.

 

John Cruddas’ post mortem was, “We should now go to some very dark places to find out what went wrong”.

 

And Liz Kendall MP’s pitch in the first Labour leadership made a pitch for leadership on the basis of the fact she went to school in Watford.

 

Tristram Hunt said, “We appeared irrelevant. Now we must appear relevant.”

 

I campaigned for Ed Miliband in the 2015 general election. I voted for Tony Blair three times as leader. I have voted Labour all my adult life, every general election since 1992.

 

Now that we have a twice democratically elected leader, I would suggest something to senior members of the Labour Party.

 

Please don’t be arseholes.

 

Your time with us is temporary.

 

The Labour Party collectively is more important than you.

 

I will be voting for Jeremy Corbyn. I have always supported the democratically elected leader of my party. I think it is simply unforgiveable and unprincipled for Kezia Dugdale, John Woodcock or Ben Bradshaw if they are going round their constituencies telling people to vote Tory.

 

Blair,  Brown and Ed Miliband all had one important thing in common.

 

They left the ideology of the Labour Party in a mess. I would go so far as to say they left it in a vacuum, which might explain why so many in the UK voted to leave the European Union.

 

But the Guardian, and senior political editors at the BBC, have made it into a passion criticising Jeremy Corbyn in an amazingly comprehensive hate campaign.

 

They are so keen on this hate campaign, they would not mind if this country went to the dogs.

 

That’s patriotism, the Tory way.

 

We are where we are with Brexit.

 

The Liberal Democrats insist that they are not ‘re-running Brexit’, but they do want to put to some sort of vote what our post Brexit existence could be or should be.

 

Indeed, whilst those who voted in the EU referendum in the most part wanted to vote out of the European Union, there is currently no clear mandate on leaving the single market.

 

If Labour or the Conservatives do not win the 2017 general election on their own, it is possible that the race becomes one of a race between (Tory and LibDem) or (Labour and SNP).

 

We can assume that the Conservatives have mentally written off the idea of ‘paying back the deficit’ on their third attempt (by 2025).

 

This incidentally is also the year David Cameron and his colleagues in big charity have promised to deliver a ‘cure for dementia’.

 

Labour  had become triangulated, up until and including the departure of Ed Miliband, to ‘paying off the deficit’.

 

But that led to annihilation of any enthusiasm and vision under the Labour membership.

 

With the ideology of ‘paying off the deficit’, everything else follows – including making the State totally underfunded. Cuts and austerity have been euphemistically dressed up as efficiency.

 

This current general election in 2017 is truly astonishing.

 

Theresa May wants to use the 2017 general election as a blank cheque for a ‘small state’. This explains why May does not consider it important to deliver a universal entitlement on winter fuel payments or to deliver an elderly care system where we pool risk equitably.

 

Is it ‘patriotic’ of May to put people with dementia on the financial breadline in this way?

 

Jeremy Corbyn and John McDonnell, on the other hand, have produced a brilliant vision for government – whether you agree with it or not. It is fully costed – none of the 60 promises in the Conservatives manifesto have been costed, and the overwhelmingly right wing media do not care.

 

This is tragic.

 

The double standards further extend to Jeremy Corbyn and John McDonnell allegedly being ‘terrorist sympathisers’. So why did Michael Fallon go to meet the dictator Assad in 2007?

 

Whatever you think of Jeremy Corbyn and John McDonnell, they have taken the level of debate much further on the risable twaddle from years ago.

 

The first question after George Osborne’s omnishambles budget from Nick Robinson was, “Prime Minister, have you ever eaten a Cornish pasty?”

 

Ed Miliband, and his shadow cabinet, were control freaks. None of them could ever go passionately off message. Take for example their tortured messages on the ‘cost of living crisis’.

 

The tragedy, however, was that Ed Miliband was also right in his way too.

 

This year, prices will far outstrip wages. There is definitely a phenomenon called ‘the cost of living crisis.

 

And we know that the energy market is broken. The inflated prices from large oligopolies demonstrating near monopolistic behaviour show that.

 

Ed Miliband recognised that too.

 

Even ‘Red Tory’ Theresa May recognises the housing market is ‘broken’.

 

However, we know that her superior, Mrs Thatcher, perhaps referred to as ‘selfishly individualistic’ in May’s manifesto, sold off the housing stock.

 

Now Maggie’s children are having to sell off their houses to pay for their own elderly care, because successful governments obsessed with a small state and free movement of capital have neglected to safeguard the infrastructure.

 

Let’s vote May out, and then we can discuss what ‘Mayism’ is at our leisure.

 

A few days ago, somebody aged above 70 said he would not be surprised if Labour actually defied the odds – like when Clem Attlee won in 1945 with an extraordinary vision, when good Mr Churchill was expected to win.

 

Ask not what your country can do for you – ask what you can do for your country.

 

Strong and stable? My arse.

 

Just ask the junior doctors, nurses or teachers.

 

I think it is time to give the robotic ‘strong and stable’ Theresa May the boot, and send a giant rocket to her equally unappealing and unimpressive Cabinet.

 

This is not a once in a lifetime opportunity.

 

This is a once in many lifetime opportunities.

 

Even if the BBC and Guardian can’t be arsed to give you the facts about the manifestos (sic), seize the opportunity to divert the UK from being an offshore banana republic off the shores of the European Union.

 

Time to give Theresa May ‘nil points’.

 

 

dr_shibley

 

 

 

 

 

Saving Jeremy Corbyn



C

 

I discovered a new font this week. It’s called “Liberation Serif”.

I’ve never heard of this before.

It’s the font which was used to produce the draft of the 2017 general election Labour manifesto which was leaked to the press.

Leaks have happened for ages (remember the ‘you leak and I brief?’), so the claim that this is specific to the highly incompetent organisation of the Corbyn leadership is somewhat spurious.

The likelihood is that this 41 page pdf was leaked by a so-called Labour ‘moderate’ who did so with the sole wish of destabilising the Corbyn machine preparing for this shotgun general election.

The problem is – most people who at a push might consider themselves Labour supporters think the programme for government is absolutely brilliant, visionary and inspiring.

And it’s been invigorating and breathtaking to watch Barry Gardiner MP defend various issues, such as promoting world peace rather than detonating nukes, against problematic journalists.

But this is definitely a ‘tale of two elections’.

An antithesis to control freakery, or the Conservative election campaign, is being played out in the social media in a parallel universe where all the bare-faced shameless lying of Theresa May is being systematically exposed (even if through hyperbolic infographics).

This is still very much Theresa May’s election to lose. She may want to call herself ‘strong and stable’ all she likes – but she clearly is is a paranoid control freak as a politician.

As a person, she seems pleasant enough.

It doesn’t take much to work out why the polls are so bad for Jeremy Corbyn and Labour. That is, even if you were a supporter of Labour, you probably would not wish to be open about it to pollsters given the intense hate campaign of all of the print media.

But you would feel perfectly happy to state support for policies, such as rail nationalisation or keeping fox hunting banned.

And the people you can blame for this are the vast majority of the media – especially the toxic nasty vindictive journalists who find themselves unable to criticise the Labour leadership on eminently sensible polices such as abolition of tuition fees.

Any reasonable person would call this policy ‘aspirational’.

I don’t even understand the logic of these mean-minded hacks – the resurgence of the LibDems evidently has not happened, nor is likely to happen in the general election, meaning that the certain ‘left wing newspapers’ have been working hard for an emboldened Tory vote.

Jeremy Corbyn has been completely ‘monstered’ in the media which is why one respondent in Nick Robinson’s focus group this afternoon called him a ‘snake’. And he has been monstered tragically by the vast majority of the parliamentary Labour Party.

About 172 Labour MPs have worked extremely hard at making the Labour Party unelectable. Quite frankly certain MPs should be running as independents to make way for MPs who are more suitable for the next Labour government to uphold the wishes of the current Labour manifesto.

I have found it very hard to like people who’ve been talking about, almost wishing for, a Labour opposition, namely Ben Bradshaw MP, Gordon Brown, and Tom Watson MP.

John Woodcock MP’s politics I find repulsive.

As John Prescott, former leader of the Labour Party, said yesterday about himself, I’ve backed every single leader including interim leader of the Labour Party. This does not mean that I have agreed with everything he or she has said.

This relentless war against Corbyn has been utterly disgusting and shameless. I’ve loyally supported every Labour leader since I became eligible to vote since the 1992 general election. But I do think he’s done his best despite enormous hostility.

I would understand the affection for Theresa May if she was any good – but she isn’t. She notoriously failed to negotiate adequate budgets for the police service against George Osborne as Home Secretary, where she repeatedly failed on the immigration targets set out in the 2010 Conservative general election manifesto.

May has shown herself – through either by chance or by intention – a serial liar. She discounted the possibility of a snap election many times, before, guess what, calling a snap election.

I don’t particularly care about incessant Tory love-ins on LBC, while all Theresa May can muster to make her sound human on LBC and BBC’s One Show is a love for cooking a spit roast or buying and wearing designer shoes.

And even if a young Tory was encouraged to go into politics because of her shoes – that’s feminism for you.

Her utterances of ‘strong and stable’ and ‘avoiding a coalition of chaos’ are intensely robotic and irritating, treating voters like fools.

Yes – even those UKIP voters who are not idiots, but who nevertheless are incapable of getting the names of senior Labour politicians correct on LBC, e.g. “terrorist” John McDonald (not McDonnell), or “smug” Emily Thornton (not Thornberry).

In a sense, the proposed programme for this new Labour programme seeks to redress the faults of the past. But this is no patch for an outdated Windows XP.

This is entirely new software, with new hardware to support it. The hardware is of course the new enhanced infrastructure of the United Kingdom.

I don’t think it’s possible that to argue that this programme abandons any wish to ‘govern from the centre’. If you’re physically disabled like me, you will recognise the clear wish of Government to not give you a personal independence payment after taking away your disability living allowance.

When I listened to a recent political podcast, an expert, supposedly guiding the Clegg and Miliband era, was talking with complete disdain about the notion of the Left being viewed as being charitable to the vulnerable.

This was exactly the same snootiness that I found utterly contemptible form Rachel Reeves in her bid for government.

It was the same detachment from the reality of lives of people with disability which led out of touch Harriet Harman MP to instruct Labour to abstain from the repellent welfare reforms from the Conservatives.

The only Labour leadership candidate who did not abstain, of course, was Jeremy Corbyn.

The main reason many people deserted Labour during the Blair, Brown and Miliband years – years before Corbyn – was that Labour seemed to be reckless in looking after groups of people

. While Lord Mandelson, who has subsequently claimed that he campaigns every day to get rid of Corbyn, was ‘intensely relaxed’ about people getting rich, it is clear that ‘none of the above’ would have called time on aggressive tax avoidance or the cuts in corporation tax at a time when social care funding has been on its knees.

The NHS has been subject to ‘efficiency savings’, when these are essentially cuts to control workforce costs as envisaged by the management consultants McKinseys. Together with crippling private finance initiative debts, it is easy to understand why the NHS is so susceptible to a cyberattack or continuing problems in patient safety.

The economy is clearly not working for all. Gas bills continue to be astronomic while the shareholders make a tidy profit.

UKIP voters have now all been effectively been safely rehoused in the Conservative Party, and see immigration as the cause of the problems.

The East Coast train line was handed to private shareholders even though the franchise had been returning a healthy surplus to the taxpayer.

To give the Labour top team credit, its manifesto is about to claim a desire to stay in the customs union or single market even if means that the economy will be better off (according to the draft).

To allow Labour some praiseand in particular Jeremy Corbyn, Labour has not signed up to this ‘immigrant bashing’ narrative at all.

The Conservative led-administrations from 2010 have clearly not been at the centre, but in fact very right wing. To give them credit, McDonnell and Corbyn have made clearly the argument that the austerity agenda has not only failed, but it was a political not economic choice.

National debt has gone through the roof, substantially more in 7 years of Conservative-led government than from 13 years of the previous Labour administrations.

Those pesky unconscionable utilities bills, due to a broken privatised economy, are still here. All of this contributes to nurses having to go to food banks to make ends meet.

The lie that ‘politics won from centre’ is further compounded by the fact there are clearly some very nasty, bigoted, racist people who have found themselves in UKIP.

Strangely enough, the BBC have found a group of people who used to be Labour voters who now will vote May, but it is obvious that these people voting May have gone via UKIP in the meantime. Contrary to the highly biased narrative which Kuennsberg and Robinson have tried to portray, arguably, there is not an army of floating voters about to vote Tory, in the same way Cardiff was not won by the end by the Conservatives.

The attack that the programme is a ‘throwback to 70s’ no longer has any teeth as this was an era when it was more affordable to buy a house or to leave university without crippling debt.

The worldwide ‘cyberattack’ on the NHS served to highlight how a lean approach to management does not leave too much lee way for safety even if the minor thing goes wrong.

The decision made in 2015 to save money by not patching up out of date Microsoft Windows XP has come back to bite the Scrooge-like management of the NHS on the arse.

The culure of running the NHS with the bare minimum of resources is one which makes its own workforce feel deeply undervalued – and the lack of investment in people in the workforce is symbolised by the lack of salary increase for years

Critics have thrown every random attack to the leaked draft manifesto. Firstly, it is claimed ‘it is a wishlist with no vision’.

I completely disagree .

You have to be an extremely mean-minded Blairite to say that rebooting the National Health Service and introducing a National Care Service or National Education Service comprises ‘no vision’.

There is a vision in wanting to do something about the number of homeless people sleeping on cardboard boxes on the street – a direct result of economic inequality and ‘market forces’.

Secondly, it is time and again claimed that the manifesto will be uncosted. It is well known that there is a small team which has been pouring over the costings repeatedly, to ensure that they are perfect when published.

And it’s a bit rich to attack Labour for this when it is the Brexit, as negotiated by Theresa May, which is likely to result in a 60-100 billion Euro as a one-off divorce settlement.

The Tories have no vision, and yet this is a truly radical, transformative agenda for government for Labour, comparable in my view to the 1945 Clement Attlee government.

 

 

Time to give Jeremy Corbyn a second chance. Vote Labour.

@dr_shibley

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