Tag Archives: Jeremy Hunt

The #NHS Job Creation Scheme.

scalpel

Very soon, the UK’s National Health Service will collapse under the burden of an impossible workload coupled to chronic government underfunding.

Unfortunately the Conservative mantra of “We have invested far more in the NHS than the last Labour government…..blah…blah…blah…”  has become not only an absolutely meaningless slogan but a very bad joke.

Here are TWO straightforward numbers: As at 30th September 2014, there were 1,387,692 NHS employees. That figure included 701,872  clinically-trained staff. In one year, the growth of the first figure was nearly TWICE that of the lower figure.

Many years ago, I began my career in the Scientific Civil Service. There were barely 200 of us researching, with nearly 500 admin staff looking after us…..so nothing has really changed in at least 30 years.

The NHS has undergone far too many changes – many of them based on the amateurish whims of a procession of unqualified Ministers. Luckily, the current Secretary of State seems to be more competent than many of his predecessors, but nevertheless, he is BOUND to be allowing his judgement to be clouded by politics, dogma, ambition and the Treasury. That automatically disqualifies him from making major strategic decisions.

Those pompous medical fatcats – the Consultants…. who use the NHS as a ‘feeder’ for their private practices in order to line their own pockets, also need to be audited and controlled.

An all-embracing  Management Audit needs to be undertaken as soon as possible – with only one aim…..To take a very wide “horizontal slice” out of the organisation so that the NHS administrative burden is brought DOWN to a sustainable level.

Yes, it IS very easy to justify layers of bureaucracy within a large organisation but NOT when they are killing the patient.

Harriet on Jerermy

Much as one hates to agree with Harriet Harman, in this case she is 100% right.

Politicians have one attribute which business-people have tapped into for years – vanity and an over-amplified sense of self-importance.

In common with many politicians before him, Culture Secretary Jeremy Hunt fell in love with the idea of rubbing shoulders with the likes of the Murdochs.

He has to go. Soon.

Closet or Cabinet?

Dr Liam Fox and now Oliver Letwin have given David Cameron the sort of distractions which he does not really need. There has been speculation about each man’s political future and the doom-mongers reckon that “it’s all unravelling”. Nothing could be further from the truth.

A few years ago, I  had a meeting at Conservative Central Office (when the Party could still afford Smith Square) with Lord Freeman who, at the time, was in charge of Candidates. We discussed the possibility of me testing prospective members of Parliament so that the Party did not have to rely on patronage and the  depressingly amateurish local interviews which continue to be a feature of candidate selection.

Had we gone ahead  with the plans, the present Cabinet would have contained some candidates who would have been pre-vetted by me. In the event, it was decided not to go ahead with something which may have caused certain future Ministers embarrassment.  Mind you, this parliament has produced those who are managing maximum embarrassment without any external help.

However, in the main, DC has assembled a surprisingly able bunch of characters.

I’ve said it before and I’ll say it again – David Cameron is a good, solid Prime Minister and, given the time, he could become a great one. There is just one thing holding him back – the lack of depth in his “one-downers”. The Cabinet.

Here’s the list:

Nick Clegg, William Hague, George Osborne, Ken Clarke, Theresa May, Liam Fox, Vince Cable, Iain Duncan Smith, Chris Huhne, Andrew Lansley, Michael Gove, Eric Pickles, Philip Hammond, Caroline Spelman, Andrew Mitchell, Owen Patterson, Michael Moore, Cheryl Gillan, Jeremy Hunt, Danny Alexander, Lord Strathclyde, Baroness Warsi, Francis Maude, Oliver Letwin, David Willets, Sir George Young, Patrick McLoughlin, Dominic Grieve.

No problems at all with the first five:

Nick Clegg has the most difficult job, both as a politician and nanny to his confused Liberals who, in spite of (mostly) enjoying  the aphrodisiac nature of power, are still a bit uncertain as to whether they are really participating or merely ballast. His sometimes diffident manner disguises a will of steel.

William Hague has grown into his job, in spite of the shaky start with Libya. He has credibility abroad which is probably one of the most important attributes of any Foreign Secretary.

George Osborne, unsurprisingly has been the recipient of more “stick” than any other politician but , love him or hate him, he has shown courage and tenacity and sometimes, downright stubbornness. Whether those attributes are born of economic understanding or just downright bloody-mindedness, remains to be seen. What is in his favour is that, unlike many others – he takes decisions and stands by them.

Ken Clarke has made the legal system accessible. I know that sounds a bit fanciful but in spite of his occasional too-straight talking , he is a great antidote to a legal system which makes bankers and their bonuses look like paupers. Currently, both the economy and David Cameron need a Lord Chancellor who at least “appears” non-elitist because sooner or later, we are going to scrutinise the multi-billion pound cash machine that is THE LAW.

Theresa May is annoying. However, she is good at her job and so far, does not appear to have put a a faux leopard skin kitten-heel-clad foot wrong. She too is not afraid to take unpopular decisions. Her handling of both the News International scandal and the inner city rioting was impeccable.

I would also add Iain Duncan Smith and Michael Gove to the A-team. IDS has proved that there is life after political death and has been delivering spectacular results with his pensions initiatives. He is both a great theorist as well as having a rare quality among politicians – he is a “doer”.

Michael Gove has been quietly ploughing the Education furrow  and shaking-up an over-bureaucratic education system and has not been afraid to take some very unpopular decisions. He too is a “doer”. His thinking on education harks back to the 60s when children were educated and not used as test and statistics fodder. 10/10

Philip Hammond at Transport also belongs in the A-team and is without doubt a star of the future. He is lucky though to have both Norman Baker and Mike Penning as Parliamernary Under Secretaries.  Norman the Idealist and Mike the “no shit”  British Bulldog. Philip Hammond is seen on TV as a government spokesman much more than you might expect from a Secretary for Transport.

Dr Liam Fox has been delivering what, on the surface has been a solid job – if not a bit over-influenced by the balance sheet. He has always looked like the Conservatives’ “nearly man”. Soon, he may be the “never really was” man – as his political career begins to unravel. He, in common with all politicians should remember that Perception is King. The current perception of him is now tending towards  the seedy.

Vince Cable was always going to be a problem and continues to be a bit of a thorn. He is a natural backroom boy and looks terribly uncomfortable in the back of a Ministerial limo. However, by far his biggest handicap is the fact that he is having increasing difficulty in disguising his Socialist views. He seems to be in permanent pain. Very soon, his political career will  describe the downward arc of the parabola. He is the Statler and Waldorf of the Cabinet and compared to some of the other youngsters is from the wrong generation. His obssession with the bankers is hurting his credibility because he has not managed to do anything about them and never will.

Chris Huhne is even more annoying than Theresa May (!) but his personal life and the alleged driving licence naughtiness has totally blown his credibility. He is lucky that he is a Liberal – otherwise he may have already participated in an exit interview with DC.

Andrew Lansley is running the NHS in the way that you would expect from a career Civil Servant. He is doubtless very able – as a Civil Servant – but the NHS currently needs a large dose of commercial thinking. Everything that he has put forward so far has been through the wringer. Wrong man in the wrong job.

Eric Pickles is a great man in every sense.  He provides the Cabinet with some Northern credibility. From a Labour family, this ex-Communist has travelled the entire political spectrum and is one of the shrewdest operators in Government. He is one of the few in Cabinet who is 100% suited to his brief with the advantage of being a working-class Conservative.

One Cabinet member who one could have been forgiven for thinking would, by now be running one of the great Departments of State is Francis Maude. He is a rock-solid operator and should, without doubt be on the real A-team. As Minister at the Cabinet Office and Paymaster General , he has been handed a temporary consolation prize. He has not peaked yet. As a former Managing Director of Morgan Stanley, he knows things.  Street-wise.

Oliver Letwin is Minister of State at the Cabinet office is DC’s Policy Adviser. Like many intellectuals, he appears to be constantly stressed and “away with the fairies”.  He is the archetypal analytical-amiable who cannot manage himself – or others – and has been given the “Special Projects” brief. He is currently the recipient of a press-roasting but, like a good luck charm, will always be retained in some capacity. It is a pity that other Cabinet members cannot spot “burn-out” when they see it.

David Willets, like Letwin is a white-hot intellectual who is good to have around. He is articulate and fiercely bright.  He would have done much better , had he not looked like a spud. His great disadvantage is a lack of any “street-cred” because he has always been a political “wonk”. Having said all that, he is the ideal person to be looking after Universities and Science with the advantage of being so clever that there isn’t a single other member anywhere NEAR as suitable for this job.

Danny Alexander is another (young) career politician and his appointment has always smacked of tokenism with the added suspicion that David Laws is hanging about whilst DC waits for a respectable passage of time before he invites him back.

Sir George Young SHOULD have been Speaker of the House and his present post as Leader of the House is his consolation prize.  He is marking time because he will probably be the next Speaker. In spite of a comparatively undistinguished Parliamentary career so far, he gives the Cabinet gravitas.

Next we have the Cabinet  “solid citizens”.  All are capable but not stars: Caroline Spelman, Andrew Mitchell, Owen Patterson, Michael Moore, Cheryl Gillan, Jeremy Hunt, Patrick McLoughlin and Dominic Grieve are all OK but will never set the world on fire.

Finally we have the youthful, Lord Strathclyde, or should I say Thomas Galloway Dunlop du Roy de Blicquy Galbraith, 2nd Baron Strathclyde. As Leader in the Lords, he is a very safe pair of hands and is a Conservative straight from Tory Central Casting. A great asset to the Cabinet.

Baroness Warsi is Chairman of the Conservative Party and although a competent TV performer, she always sounds as if she’s reading from a Tory pamphlet. She is very likely to be reshuffled out soon. Bearing in mind that Perception is King, her appointment smacked of tokenism.

So, you see that , in spite of the elitist-millionaire tags, the Cabinet is largely populated by a very cabable and  solid bunch of operators –  although the real depth of talent within the Coalition parties is still a bit of a mystery – even, one suspects, to David Cameron himself.

This Cabinet has a good mix of experience, intellect and toughness.

Whether or not you share their views or politics – they are (by far) the ones who have the very best chance of extricating us from where we have landed.