Commentary and analysis of recent political events

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The government is trying to pass a clause in the Care bill today that will allow hospitals to be closed much easier without public consultation.

Hospital closure clause battle heats up today

Stormy scenes are likely in parliament today as the government tries to “rush through” changes that will make it far easier to close hospitals without public consultation. The changes,which OurNHS has campaigned on from the start, now face fierce opposition from doctors, 38 Degrees, the British Medical Association, NHS campaigners and charities.

On Friday Ed Miliband tabled a motion of opposition to the Bill, saying it “includes provisions which could put NHS hospitals at risk of having services reconfigured without adequate consultation and without clinical support”.

The hospital closure clause gives Trust Special Administrators greater powers including the power to make changes in neighbouring trusts without consultation. It was added to the Care Bill just as the government was being defeated by Lewisham Hospital campaigners, in an attempt to ensure that campaigners could not challenge such closure plans in the future. But the new Bill could be applied anywhere in the country.

Louise Irvine, Chair of the Save Lewisham Hospital campaign, said “If services need redesigning the law must ensure this is with proper and extensive consultation with local people. This process cannot be rushed. Decisions should not be based on the needs of investment banks. What happened to the government promises that in the NHS there would be ‘no decision about me, without me’?

OpenDemocracy appears on the Want to make a worthwhile donation this Solstice? page

Ed Miliband commits to doubling the number of homes built each year. The move is likely to prove very popular. I think that he’s correct in recognising development and building as a racket concerned with profiteering. I would also like to see the renovation of properties and the conversion of buildings to homes or other forms of social housing.

Ed Miliband promises drive to double rate of housebuilding

Profiteering property developers that hoard land and councils that block developments will be swept aside in a “non-stop drive” to more than double the number of homes being built each year in England, Ed Miliband will promise on Monday.

Attacking “stick-in-the-mud councils”, the Labour leader will say he would order a national planning inspectorate to give priority to local authorities that want to expand if they are being blocked by neighbouring councils refusing to release land.

Under the Labour plans, councils would be empowered to compulsorily purchase land or charge fees if developers fail to build on land for which they have planning permission. Michael Lyons, the chair of Labour’s new independent commission on housing and a former BBC chairman, told the Guardian that Britain needed to recapture the postwar spirit when building homes was the national priority.

Despite MPs claiming publicly that they object to their intended pay rise, only 10 MPs back a motion to limit their pay rises to 1% to match the public sector.

Cuts to care funding mean half a million fewer looked after, study finds

Almost half a million fewer old and disabled people are receiving care and support from the public purse than would have been the case before the financial crash, according to an expert study.

The research comes as MPs vote on Monday on the coalition’s care bill, which aims to overhaul the care system in England but threatens to tighten still further the rules of eligibility for state support.

Charities and care organisations are calling on ministers to address a “black hole” in social care funding which they say has left the system short of £2.8bn a year that would be necessary to meet people’s needs assessed as “moderate”.

Bridget Warr, chief executive of the United Kingdom Homecare Association, said: “Funding good care which helps people stay in their own home is not only a moral responsibility for any civilised society, but is also cost-efficient as it extends people’s wellbeing, reducing admissions to A&E, and helps people return home from hospital quicker.”

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

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

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

NHS sign

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

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

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

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

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

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

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

‘Truly shocking’ that the private-school educated and affluent middle class still run Britain, says Sir John Major

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http://www.telegraph.co.uk/news/politics/conservative/10439303/Truly-shocking-that-the-private-school-educated-and-affluent-middle-class-still-run-Britain-says-Sir-John-Major.html

The dominance of a private-school educated elite and well-heeled middle class in the “upper echelons” of public life in Britain is “truly shocking”, Sir John Major has said.

The dominance of a private-school educated elite and well-heeled middle class in the “upper echelons” of public life in Britain is “truly shocking”, Sir John Major has said.

The former Conservative Prime Minister said he was appalled that “every single sphere of British influence” in society is dominated by men and women who went to private school or who are from the “affluent middle class”

More than half of the Cabinet, including David Cameron, the Prime Minister, George Osborne, the Chancellor, and Nick Clegg, the Deputy Prime Minister, are thought to have gone to private school [Isn’t that a fact? what’s this “though to have”? Isn’t it closer to all than half?] and are independently very wealthy.

In the speech to Tory party grassroots activists on Friday evening, Sir John – who went to a comprehensive in south London and left school with three O-Levels – said: “In every single sphere of British influence, the upper echelons of power in 2013 are held overwhelmingly by the privately educated or the affluent middle class. To me from my background, I find that truly shocking.”

Continue Reading‘Truly shocking’ that the private-school educated and affluent middle class still run Britain, says Sir John Major

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

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

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

NHS sign

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

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

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

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

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

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

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

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

Socialist Revolution

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Sounds like Russel Brand’s on the right lines there. [29/10/13 Apologies, that should be Russell Brand.]

I used to call for revo ….

I had considerations for democracy ~ and after contemplation decided that contemporary UK democracy is an illusion. There is the illusion of three main parties while they are all PPE scum.

Edit: I should perhaps at least explain myself better. Let’s start with ~ There is absolutely no difference between the leaders of the three main UK political parties – David Cameron of the Conservatives, Nick Clegg of the Conservative Liberal Democrats and Ed Miliband of the Conservative Labour Party. There is no difference between them – they are all Tory Scum.

Now I can fully understand and appreciate Russel Brand suggesting that voters should not participate in such a farce and even that a revo is called for.

[Later edit: I used to have reservations about calling for revo – it was about the assumed democratic process. How could I call for revo when there was a democratic process? The answer – of course – is that there is not a democratic process.

[Later later edit: Where is the democratic process in govenments’ spying? Where is the democratic process?

I’ll answer you: It is absolutely absent. There is no democratic process here because democracy does not apply …

The problem is that – isn’t democracy paramount? So who are these fakirs to say that they can spy on us? and that we shouldn’t know about it? and that nobody can report it? Where is democracy then?

Apparently it’s democracy that I can vote for some siht or other that can then spy on whole populations without any reason but I shouldn’t know about it. And that’s demokracy?

[Later tater edit: You’re full of siht, just like the full of sihter you so adore

 

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