Nhs

Finding a way to raise taxes that is popular is, for some on the centre-left, the Holy Grail. As the well connected Andrew Grice reports in The Independent today, a growing number of people on the Labour side are attracted to the idea of an NHS tax. Their logic is that the public value the NHS so wouldn’t mind paying more for it. They point out that when Gordon Brown raised National Insurance to fund extra spending on the health service there was none of the backlash you would normally expect to a tax rise. But the reality is that the introduction of a new NHS tax won’t be matched by tax cuts elsewhere. It will simply lead to people paying more tax overall. Demand on the NHS might well be about to rise.

If somebody invented a pill that could cure a disease that kills five million people a year worldwide, 100,000 of them in this country, the medical powers that be would surely encourage it, pay for it, perhaps even make it compulsory. They certainly would not stand in its way. A relentless stream of data from around the world is showing that e-cigarettes are robbing tobacco companies of today’s customers — and cancer wards of their future patients. In Britain alone two million now use these devices regularly. In study after study, scientists are finding e-cigarettes to be effective at helping people quit, to show no signs of luring non-smokers into tobacco use and to be much safer than their noxious competitors.

'There is now a deadly virus, which anyone can catch from sex with an infected person. If we’re not careful, the people who’ve died so far, will be just the tip of the iceberg… If you ignore Aids, it could be the death of you.’ It has been hailed as one of the most memorable health campaigns ever created. The message couldn’t have been clearer and people were petrified. For anyone over the age of 30, the ‘Iceberg’ and ‘Tombstone’ adverts — as they came to be known — with John Hurt’s menacing voice-over, still bring back a sense of crushing dread.

What form do you reckon the government’s consultation on cigarette packaging is going to take? Given that health minister Jane Ellison has said that the government’s intention is clear and the consultation short, I rather think it’s going to be like the gay marriage consultation – which ignored half a million objections to the thing in principle, and just focused on asking how to implement a decision already made. So this business of seeking out the views of ‘stakeholders’ is, I rather think, entirely cosmetic. I don’t know whether you could call me a stakeholder because I’m not exactly a smoker – I’ve never got the hang of inhaling – but I do like a nice cigarette packet.

What do I want from the budget, I was asked. So I had a think. One plea was for no more pasty taxes, which I argued distracted from the more serious changes that would actually affect most people. So Osborne decided to cut the Bingo Tax, and we ended up with #bingogate. Someone obviously hadn't been paying attention at the back. But among what I like to think of as the more serious requests to the Chancellor, I suggested the implementation of a charge of, say, £10, each time a person missed an NHS appointment. The Chancellor didn't listen to me then, either. (Well, to be fair, why should he?) But I see that a think tank has released a study, co-authored by former Labour health minister Lord Warner, which recommends charging a £10 monthly fee for use of the NHS.

In a valedictory interview, Sir David Nicholson was quite frank about the state of the health service that he has run for the last eight years. ‘In its current form,’ he declared, ‘the NHS is unsustainable.’ It is hard to imagine Simon Stevens, who takes over as NHS England chief executive this week, having to say that when he leaves. His friends know him as an experienced reformer, a policy expert and a radical. His CV causes some suspicion in Tory circles — he is a former adviser to Tony Blair (I’m also guilty in that respect) and was a co-author of the last Labour government’s health reforms — but that is precisely why he will be so valuable to David Cameron now.

By way of a metaphor for the way the NHS and, come to that, the law regards foetuses, you can’t really better the reality, viz, that foetal remains from abortions and miscarriages are being incinerated in NHS hospitals and possibly used to heat that hospital. If a foetus lives less than 13 weeks, it could, in Addenbrooke’s Hospital, for instance, be used as fuel as part of the hospital’s waste-to-energy schemes. And 13 weeks is just over three months’ gestation – the point at which wanted foetuses register as recognisably human on the scans that prospective parents take home and show their friends. Meanwhile, the unwanted foetuses, or the ones that die early, get dumped with the used disposable gloves, in the incinerator.

Every year the Budget comes and goes, amid a flurry of live blogging and urgent blog posts at The Spectator. And almost every year, the papers are full of the minutiae which make for entertaining headlines. So this year, I say: Please, no more pasty taxes.  They just lead to days and days of stupid headlines, which might be fun (for the first hour), but simply end up detracting from the more serious announcements; or rather, the ones that will actually affect most taxpayers. Anyway, moving on. For selfish reasons, I am entirely in favour of raising the basic income tax threshold. I know that the Tories and the Lib Dems have been squabbling over who it is that we have to thank for this proposal, but either way, thank you, and please continue.

Last week, the House of Commons considered the vital matter of the Francis Report – one year on. It is quite difficult at this stage in the tragedy of Stafford hospital to recall how it all came about and the difficulties that those of us who experienced it had to endure, the patients and the victims in particular. There was complete and total resistance, a granite-like refusal, to having a proper look at what was going on. A tooth and nail battle had to be fought to get the Inquiry in the first place, under the Inquiries Act 2005. I was absolutely astonished that successive Secretaries of State completely refused, point-blank, to have such an inquiry in the case of Mid Staffordshire.

If politics was science, you would call Wales the ‘control’ group, for public service reform. Here is a country where Labour are the only game in town and a socialist philosophy which places a monopolistic state provider at the centre of health care and education reigns supreme – yes, even more supreme than the pupils and patients this system is designed to serve. In fact, in devolved Wales, Labour are running the public services as Ed Milliband would like to see them; a Labourite utopia of State supremacy, with none of the so-called evils of alternative providers getting in the way of the tight grip of the State. So how is this socialist utopia going, then? If a recent Question Time from Newport is anything to go by, not so good.