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Archive for the ‘Health’ Category

Monday
Jun 20,2011

Last Thursday, the sweetly formidable Government Chief Whip in the Lords, Baroness Anelay of St Johns announced last Thursday that the House of Lords would be returning to work on 3rd October rather than 10th October this year after the Summer recess (ignoring the two week September sitting that will interrupt the recess).  This will mean that Conservative Peers will have to make the choice between attending Parliament or the Tory Party Conference.  She blamed this on the slow scrutiny of legislation by the House and, in particular, the particularly thorough process (led by many Labour Peers) of consideration given to the Parliamentary Voting System and Constituencies Bill or as she put it:

“This is a self-regulating House, with the implication that scrutiny of legislation cannot be curtailed except by the House itself. That is only right; it is one of the aspects of our work of which we have every reason to be proud. The corollary is that when the House chooses to dwell on a particular Bill, as it did on the Parliamentary Voting System and Constituencies Bill-on which we spent 17 days in Committee, which is more than double the usual maximum for the largest Bills-more time must then be found elsewhere if the scrutiny of the other Bills in a Government’s legislative programme is not to suffer as a consequence.”

But it is not just the extra days.  The House is sitting longer – often way beyond the normal 10pm cut off on Mondays, Tuesdays and Wednesdays.  Indeed, she also announced that the House would sit four hours earlier than normal on one of the days this week to accommodate the number of Peers who wish to speak on the Government’s draft Bill on House of Lords abolition (106 at last count).  And as it turned out the House sat from 11am until 10pm (three hours later than normal on a Thursday) on the day she made her announcement, so as to complete its sixth day of Committee Stage consideration of the Police Reform and Social Responsibility Bill.

Labour’s Chief Whip, Lord Steve Bassam, pointed out that, in fact, there was a “chaotic logjam” of Government Bills:

“The truth is-in saying this I apportion no blame to the noble Baroness, Lady Anelay-that the Government are trying to force through a programme that is overlong, overprogrammed and overblown. In short, it is too long and they know it, and the House and the process of scrutiny are the sufferers. This is a crisis of timetabling, caused not by your Lordships’ rightful desire to scrutinise Bills but by political mismanagement, emanating from No. 10. This House has already had the farce of badly drafted Bills, such as the Public Bodies Bill, and still to come are the Armed Forces Bill, the Scotland Bill and the Office for Budget Responsibility Bill. We have been waiting for a health Bill that was promised to the House in May but will not be here until October or November at the earliest. We also have such complex Bills as the Welfare Reform Bill and the Protection of Freedoms Bill to come.

What assurances can the House have that, even with this extra week, we will complete our work without further incursions into Recess dates, longer nights and earlier starts? I also ask the noble Baroness to reconfirm all existing Recess dates, including those in February, and to do so with certainty. Will she also tell the House when it is intended that we shall have another Queen’s Speech, and when this Session-the longest any of us can remember-will end? How many more Bills do the Government expect to force through this House before the Session concludes? At my last count, we still had 16 in progress and another 12 or 13 to come, and had done only 16 so far. Just how many more Bills do the Government expect to bring?

May I perhaps give the Government a little advice before they embark on their next political programme? Will they ensure that, next time around, they have coherent, well worked-out Bills, and do not have more Bills in their programme than both Houses of Parliament can realistically manage and effectively scrutinise?

This a programme of legislation that has been poorly thought through, badly managed from the centre and forced on an increasingly reluctant Parliament in a timeframe that is wholly unrealistic. I urge the Government to think again about their programme, and to consult the House properly about their timetable and what they put in for the rest of the Session.”

Today, it emerged that the Government’s own coalition partners, the LibDems, are also keen on thorough scrutiny of legislation with the first day of the Committee Stage of the Localism Bill: the first six groups of amendments have all been put down by LibDem peers – the first of which being debated for an hour and a half trying to pin down what the Government’s definition of “localism” actually amounts to.

The reality is that the House of Lords is doing its job.  The Government is trying to push through too much legislation and what is worse the Bills that are being put forward or are emerging from the House of Commons are badly-drafted, full of unintended consequences and frequently fail to do what it says on the tin.

Thursday
Mar 24,2011

If you are not too easily shocked, you can either read Andrew Lansley’s proposals for the NHS or you can watch this:

 

http://www.youtube.com/watch?v=Dl1jPqqTdNo

Monday
Mar 21,2011

I see that Ken Livingstone has launched a petition designed to hold David Cameron and Boris Johnson to their promises on the NHS and in particular to:

* Protect Health Care services

* Stop precious NHS money being wasted on a big top-down reorganisation which is putting the NHS at risk

* Provide the real increase we were promised in NHS funding

You can sign by going to: http://www.campaignengineroom.org.uk/nhsos

Thursday
Jan 20,2011

I picked up a copy of the mammoth Health and Social Care Bill yesterday afternoon, but have yet to digest its 353 pages what with Parliamentary Voting and Constituency Bill grinding on through much of the night.  However, I thought Paul Corrigan put his finger on the fundamental flaw in its central proposal:

According to the Government GPs aren’t up to buying flu vaccines, but they are up to buying everything else!

I might have missed something overnight, but I expected to wake up this morning to hear the Government extolling the capacity of GPs to commission the nation’s health care. It is after all their policy.

Instead I wake up to hear the Health Protection Agency saying why, for a variety of very plausible reasons, GPs do not have the capacity to buy the nation’s flu vaccine – and why they are almost certainly going to have their duty to buy the nations flu vaccine taken away. In future it will be done by the DH.

There are certainly good arguments for this, but presumably the Government also believes that it’s a good idea for doctors with much better local knowledge to buy the vaccine and not faceless bureaucrats at the DH.

The arguments for GP commissioning of NHS care are the same arguments in favour of GPs commissioning the flu vaccine.

The arguments against GP commissioning of NHS care are the same arguments against GPs commissioning the flu vaccine.

Somehow the Government finds itself arguing against itself on the very morning when the press is full of the Bill.

To say the least this is very odd.”

Thursday
Jan 13,2011

I missed the article earlier this week in the British Medical Journal, in which Brian Deer sets out how the vaccine crisis sparked off by Dr Andrew Wakefield’s false claims about a link between the MMR vaccine, autism and bowel disease was intended to support secret businesses that were intended to make huge sums of money in Britain and America.

I would have expected this to attract a large amount of attention – particularly in those newspapers who covered Wakefield’s original claims in so much detail and carried on doing so even as they became increasingly discredited.  So far – in an admittedly cursory glance – the only coverage I can find is in The Sun:

“DISGRACED doctor Andrew Wakefield plotted to make £28million a year from the MMR jab panic he triggered, it emerged last night.

Wakefield – struck off last year – aimed to set up secret businesses to cash in on fears that the triple inoculation was linked to autism.

The ex-surgeon thought he could make a fortune in clinics offering parents diagnostic tests for their children so they could possibly sue health authorities.

Wakefield, 53, hoped to make even more by supplying “replacement” vaccines. But he had not even completed his MMR research – later discredited by experts – when he met managers at a top medical school to discuss business ventures.” 

Wednesday
Dec 22,2010

This afternoon in Lords Question Time Lord Taverne asked the Government:

“what steps they are taking to discourage United Kingdom universities from offering Bachelor of Science degrees for courses in alternative medicines such as aromatherapy, reflexology and Chinese medicine?”

The following exchange then took place:

The Parliamentary Under-Secretary of State, Department for Environment, Food and Rural Affairs (Lord Henley): My Lords, universities decide what they should or should not teach. This is a key protection of academic freedom and helps to maintain the world-class reputation of our higher education institutions.

Lord Taverne: My Lords, with great respect, as lawyers used to say when they meant the opposite, will the Minister convey to his department that that is not an entirely satisfactory Answer? How can the Government justify supporting universities that show no regard for academic standards and offer science degrees in courses which teach that certain essential oils cure specific diseases, areas of the foot lead to pathways to certain inner organs, and health depends on the pattern of energy flows within the body? If the Government believe in evidence-based science, can they really remain indifferent to the fact that some of their funds are used to promote quackery and mumbo-jumbo and call it science?

Lord Henley: My Lords, I again remind my noble friend that it is very important to remember that universities are autonomous bodies and it is for them to make decisions about these matters. The Government have no power to intervene. I have some sympathy with the message that my noble friend is getting across but it would be wrong for the Government to intervene in these matters.

Lord Harris of Haringey: My Lords, is it not the case that the Government have differentially removed resources from universities on the basis of some of the courses concerned? Does the fact that resources are not being withdrawn from these Bachelor of Science courses suggest that the Government are endorsing the pseudo science that is implicit within them? If they are not endorsing that pseudo science, why are they allowing the funding to continue?

Lord Henley: My Lords, the noble Lord is trying to take us back to a debate we had last week. Those matters have been dealt with. I am making clear that it is not for the Government to interfere. We offer guidance to HEFCE. The letter to HEFCE from Dr Vince Cable and David Willetts went out yesterday. That sets out the parameters for HEFCE to make the appropriate decisions about university funding, but it is not right that we should do that.

Lord Willis of Knaresborough: My Lords, given the legislation that went through this House last week, which will now see the taxpayer underwriting degree courses at £9,000 a year, does the Minister accept that the taxpayer should fund what is little less than quackery in universities such as Thames Valley which offer BSc honours courses in homeopathy?

Lord Henley: My Lords, again I make it clear that it is for the higher education institutions themselves to make these decisions. It would not be right for the Government to interfere.

Lord Krebs: My Lords, in choosing to fund these courses in universities, will HEFCE treat them as science, technology, engineering and medicine courses, in which case they will receive a higher allocation than if they were not treated as such?

Lord Henley: My Lords, the noble Lord makes a very good point. I do not know the answer to it but I will certainly make inquiries and write to him. Again, I reiterate the fundamental point that these are matters for HEFCE to decide, not the Government.

After a brief diversion, while a number of peers described their personal affection for chinese remedies, the Minister was pressed again:

“Lord Howarth of Newport: My Lords, the noble Lord says that it is at the discretion of HEFCE as to how university courses should be funded differentially. Is he actually saying to the House that it is a matter for HEFCE as to whether or not funding for the humanities and social sciences teaching is to be cut by 100 per cent?

Lord Henley: My Lords, we have offered guidance to HEFCE in the letter that I mentioned, which was published yesterday. I will make a copy available to the noble Lord. It is then for HEFCE to make its decisions.

Lord Harris of Haringey: My Lords, what does that guidance say about pseudo-science and the courses which the noble Lord, Lord Taverne, mentioned in the first place?

Lord Henley: My Lords, I will make the letter available to the noble Lord as well.”

So the Government have given “guidance” about funding but can’t say what it is ….

Wednesday
Dec 15,2010

Colin Talbot at Whitehall Watch has some interesting predictions here.

Thursday
Nov 18,2010

We are told that there will be a revamped National Cyber Security Strategy published in the next few months.  This will explain what the £650 million of new money allocated for cyber security in the spending review will actually be used to deliver (I understand that Whitehall Departments are still bickering over who will get their hands on this money - the Ministry of Defence and the Home Office both believe it should come to them rather than the Cabinet Office).

However, I wonder whether it will also propose legislation.  In the United States a number of members of Congress are putting forward what they are calling the “Homeland Security Cyber and Physical Infrastructure Protection Act of 2010”.  This will give a statutory basis to the Office of Cybersecurity & Communications based in the Department of Homeland Security and would, in particular, create a new Cybersecurity Compliance Division to oversee the establishment of performance-based standards responsive to the particular risks to the .gov domain and critical infrastructure networks.

This is an interesting model.  In the UK, the Government bodies that are responsible for protecting the critical national infrastructure do not have a statutory basis and do not have any formal powers.  In my view, this hampered the effectiveness of the old National Infrastructure Security Coordination Centre, which is now incorporated into the Centre for the Protection of the National Infrastructure and falls under the ambit of the Security Service.

I have long advocated that underpinning the “voluntarist” and consensual framework Government needs to have a statutory frmaework that – in extremis – can be used to require Government agencies and those private companies that supply much of the national infrastructure to meet certain minimum standards and can direct action effectively in the event of some major problem arising.

Tuesday
Nov 16,2010

This was drawn to my attention …..

http://www.youtube.com/watch?v=5eBT6OSr1TI&feature=player_embedded

Saturday
Nov 13,2010

The Guardian reports this morning that the Department of Health have put fast food companies McDonalds and KFC and processed food and drink manufacturers such as PepsiCo, Kelloggs, Unilever, Mars and Diageo at the heart of writing government policy on obesity, alcohol and diet-related disease.
So who has Andrew Lansley put in charge of the asylum?