Sneaky and Naive: The Department of Health’s plan to raise care home inspection fees

Care quality Commission

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While MPs were enjoying their Christmas break the Department of Health sneaked out a consultation paper planning a massive increase in compulsory inspection fees for care homes, privately provided ambulance services and hospitals.

As part of the spending settlement the ministry has decided to recoup the present £120m  a year subsidy given to cover compulsory inspections made by the Care Quality Commission. Altogether the ministry want to recoup some £780m over a ten year period. I have written about this in Tribune magazine

There is a subsidy is because the CQC has had to up its game and do more through inspections after the scandals exposed by  the Robert Francis report into Mid-Staffordshire NHS Foundation Trust and the Winterbourne View private home for people with learning difficulties exposed by BBC Panorama.

The Treasury wants to abolish this subsidy on the grounds that it must recover all the costs of inspections rather than part of them.. Superficially this sounds fine as NHS trusts will not to have to pay for the inspection of their own hospitals and ambulance services. Neither will 94 per cent of GP surgeries.

However increasing privatisation and outsourcing of services by local authorities and health trusts to private firms means that the bill for the inspections which already run into thousands of pounds could fall on councils and trusts who commission the services.

The paper reveals that 90 per cent of  care services are already privatised and privatisation is increasing in the NHS with private ambulance providers becoming the norm and mental health provision and other services being outsourced.

To try and justify this civil servants have tried to tell ministers that this could have nil effect on health provision.

This naive view is bolstered by the belief that care homes s will accept a cut in their profits to prevent an adverse health outcome caused by councils and health trusts having to cut the number of people sent there because of the increased cost of inspection fees.

This is contradicted by negotiations for the present year’s fee increases. The paper says:

“There is a risk that any increases in fees could have a destabilising effect on providers, as many providers are facing a tough financial climate, with increased running costs and reductions in income. During the CQC’s consultation into their fee levels for 15/16, 80% of providers opposed the proposed 9% fee increases for this reason. “

This is hardly surprising given that to run a care home on a profit, they already pay staff little more than the minimum wage and cash strapped councils are unlikely to pay them any more for residents. It puts into question whether running a care home  is a suitable business for the private sector. Soon they will soon have to pay the living wage. So would anyone believe they will absorb higher inspection fees into their profit margins.

 

The paper also discloses that the review will mean they will cut inspection fees for private dentists as they make a profit. It then naively assumes that the dentist will pass on the saving to patients. Does anyone believe that?

Whoever drew up these proposals cannot really live in the real world – no wonder ministers are told what they want to know rather than face reality themselves.

 

A rare accolade to ” Lawrence of Arabia “

Painting_of_Lawrence_of_Arabia_by_Augustus_John

Lawrence of Arabia – a painting by his friend, Augustus John.

Lawrence of Arabia pic Credit BBC

Lawrence of Arabia: Pic credit:BBC

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While the press has been inundated by flooding stories and fears of terrorist attacks  by Islamic State in the run up to Christmas , the government slipped out a genuine good news announcement  for fans of ” Lawrence of Arabia “.

The heritage minister, Tracey Crouch, announced that Clouds Hill, the tiny home of T E Lawrence , near Wareham in Dorset has been given Grade II * status – an Historic England  accolade given to only a few hundred buildings in England. The ruling gives its special protection.

The decision  taken 80 years after Lawrence’s death has been given no coverage by the press but is a piece of living history for anyone interested in the complex life of Lawrence – an archaeologist, manic motorcyclist, writer, Arabist, military strategist and a First World War hero.

For the tiny cottage as The National Trust site  tells you is just as exactly Lawrence left it when he died in a tragic motorcycle accident in 1935. It has no electric light, the rooms are simple and austere.

As Deborah Williams, Listing Team Leader, West at Historic England, said in the press release:

“Clouds Hill deserved to be upgraded to Grade II* in recognition of the importance of Lawrence’s life and the particular place which the cottage held in his heart. In 1923 he rebuilt the once-derelict cottage dating from 1808, making the fittings and furnishings himself, so it is very evocative of his personality and interests.”

The cottage served as Lawrence’s retreat from barrack life where he would entertain his friends and wrote most of his famous books. Famous visitors included Lady Nancy Astor, Siegfried Sassoon and Augustus John.

There is an irony given the timing of the announcement when the Middle East is in flames and Syria a hell hole. For it was Lawrence with the British government’s blessing who stirred up the Arab revolt in 1916 against the Ottoman Turks, committing terrorist attacks on their rail line across Arabia. His story was immortalised in David Lean’s film Lawrence of Arabia.

It was Lawrence who championed the Arab cause only to be betrayed by the French and British in a secret agreement that set up the current artificial boundaries between Iraq and Syria now straddled by Islamic State.

One wonders whether history will repeat itself in 2016 when Russia, the US, Britain, Turkey and no doubt France decide the fate of Syria.

For those interested in Lawrence in the year of the centenary of the Arab Revolt there is a website  run by The T E Lawrence Society. Events next year include a symposium at St John’s College, Oxford, looking back at the Great Arab revolt in September. And there is an exhibition on the revolt next October at the National Civil War Centre in Newark, Nottinghamshire.

The cottage itself is currently closed but re-opens on March 8.

 

 

A family that plays together stays together: a happy holiday season for the UK’s political-media elite – Des Freedman

A very good read from Des Freedman.Obviously a very happy Christmas for the Murdoch dynasty, their friends and the Prime Minister. What could possibly go wrong now -only immortality eludes them. Very much a tale of power corrupts. Now they have absolute power they must think nothing is beyond their grasp.

INFORRM's avatarInforrm's Blog

rupert-murdochFamilies should be together at Christmas. That’s the simple message we should take from the merry noises emanating from Rupert Murdoch’s London apartment where, on Monday night, David Cameron, George Osborne, Rebekah Brooks and a slew of top News Corp personnel joined the mogul in capping off what has been a pretty decent year for him.

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Untrustworthy Truss: The dishonest cover up that left farmers owed hundreds of millions of pounds

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This week  Environment Secretary Elizabeth Truss chairs a highly publicised  emergency Cabinet committee to save large swathes of the nation from a flooding disaster. I hope she does a better job than supervising payments to  England’s farmers.

Last week her department  and one of its agencies were involved in one of the most callous and dishonest pieces of news management this year.

It has left tens of thousands of farmers without any  money for Christmas and they will be lucky if they are paid by the end of January.

The reason is her department and the Rural Payments Agency have been involved in a monumental mess over  the introduction of a new computer system to pay farmers their annual cash from the European Union.

This money is not small beer. This time last year some £1.3 BILLION was paid out to over 96,000  farmers in England and it helps keep our  food at reasonable prices in the shops.

Last week the National Audit Office revealed that the computer system set up to pay the money didn’t work properly, cost 40 per cent ( at £215m to the taxpayer) more than planned and , as a result,farmers had to revert to using paper applications.

The report even for National Audit Office terms was scathing. it revealed a total mess across Whitehall with quarrelling officials from the Cabinet Office to the Government Digital Service making a pig’s ear of the whole business.

I wrote about it in Tribune. Here is one damning paragraph  in the report:

” The Programme has been set back by numerous changes in leadership. There were four senior responsible owners within the space of a year, each bringing their own style and priorities. Repeated changes were disruptive to the Programme and caused uncertainty and confusion for its staff. The Department failed to prevent… deep rifts in working relationships and inappropriate behaviour at the senior leadership level. ”

Now this body- the Government Digital Service – has just been given an extra £200m by George Osborne, the Chancellor, so it can digitalise driving licences and passports.  If their handling of farmers money is anything to go by, you will find you won’t be able to get a driving licence or passport by the next General Election.

You might wonder why you have not heard about this mess.  A copy of the damning NAO report was sent to every national newspaper but their reporters deemed it too boring to publish. The situation was condemned by Meg Hillier, Labour chair of the Commons Public Accounts Committee, but it fell on deaf Parliamentary lobby ears.

But worse than this  the Department of Environment, Food and Rural Affairs deliberately misled the public and the media about this state of affairs.

Last year when the first farmers received their cash under the old system, Elizabeth Truss couldn’t wait to boast, in a run up to the election, how successful the government had been in getting the money to farmers. You can read about it here.

This year this completely misleading statement was put out and Elizabeth Truss was nowhere to be seen. It boasted of  33,000 farmers receiving the cash. Last year it was 96,000. In other words it had fallen by 65 per cent – an appalling state of affairs.

To my mind the whole saga shows we are governed by a Metropolitan elite – with no press interest in the plight of anyone outside London and complete disdain for rural issues. That is why obviously Elizabeth Truss thought she could get away with no one knowing anything about this mess. And she has succeeded.

There is a great opportunity for Labour and the Liberal Democrats to take this issue up – it chimes with the parties’ interests in backing grass roots politics away from Westminster.

There is also a sting in the tale – do you know the European Union can fine the UK for not paying the money promptly. A similar problem some years ago meant the department was fined over £600m.  So due to ministers’ incompetence some of your taxes – will go to pay millions of pounds of EU fines. You couldn’t make this up.

 

 

 

 

Oldham West: How Labour is defeating the UKIP challenge

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Anybody who has followed UKIP’s recent performances in council by elections would not have been surprised at the resounding victory by Labour over UKIP at Oldham West, the seat held by the late Michael Meacher MP.

Once again the Westminster Parliament appeared out of touch with local reality when it assumed that Jeremy Corbyn’s leadership would mean the end of Labour as a serious fighting force and a close run result at Oldham, heralding a revival for UKIP.

The combination of a popular young local candidate in Jim McMahon, the leader of Oldham Council, and the fact that the Labour Party  has had a surge in membership meant that the party was well  placed to win.

The serious loser is Nigel Farage who ran a vicious anti Corbyn campaign using the worst of the deluge of bad press coverage, expecting a big boost from white working class voters in Oldham. But it didn’t happen – hence his outrageous attack today on Asian voters for keeping Labour in poll position.

This is a real problem for Farage because his entire strategy is to get the votes of mainly white working class voters in the North so he can replace  Labour as the official opposition by winning swathes of Northern seats.

This is clearly not happening in Oldham. Despite I suspect some switching  from the Tories to UKIP – resulting in the Tories very bad performance where their share of the vote dropped to under 10 per cent.

If you analyse the UKIP bad run of  council by-election results – it shows they are falling back  everywhere except in their traditional heartlands in the Fens, Kent and Essex. They are making no headway in London

The Oldham West result was preceded by a similar UKIP slump in a council by election in Chorley in Lancashire. In Chorley Labour recorded a 12.7 per cent swing –taking the seat with 57.3 per cent share of the vote and winning with 697 votes. The big loser was UKIP whose share of the vote dropped by 12.4 per cent – getting just 76 votes.

And there have been similar bad performances – including two last night -one in the London borough of Newham where there was an 9 per cent swing to Labour and UKIP got only 3.9 per cent of the vote.Labour got 1440 votes, UKIP, 78.

The other was in the Malvern Hills – a Tory heartland – where UKIP was pushed into third place, halving their share of the vote, to 13.3 per cent from 27.7 per cent. They got 56 votes. Labour, standing for the first time in the ward, got nearly 23 per cent of the vote, 96 votes with the Tory winning with 268 votes.

Where UKIP do have presence – their effect has been to hit the main parties without winning outright. In Ashford, Tories took a seat from Labour by two votes and in Rochford, Essex, Labour took a Tory seat by four votes.

However pundits or commentators want to play it.- this was a good result for Labour, a bad result for UKIP, and an appalling result for the Westminster Establishment who had written the Labour Party into the history books.

 

The full result
Jim McMahon (Labour) – 17,209 (62.11%)
John Bickley (UKIP) – 6,487 (23.41%)
James Daly (Conservative) – 2,596 (9.37%)
Jane Brophy (Liberal Democrat) – 1,024 (3.70%)
Simeon Hart (Green Party) – 249 (0.90%)
Sir Oink A-Lot (Monster Raving Loony) – 141 (0.51%)

 

 

 

 

The “Jane” date rape case: A flawed report from MPs on the Home Affairs Committee

Keith Vaz MP, chair                  Leon Brittan

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The House of Commons home affairs select committee has produced a number of outstanding reports on the criminal justice system. But its latest report on the Met Police’s handling of an investigation in allegations that Leon Brittan was involved in an historic ” date rape” case is not one of them.

The MPs have admonished the Met Police, demanded that a prominent MP, Tom Watson apologise to Leon Brittan’s family for helping the woman who made the allegation; produced a biased conclusion of how the Met handled the case and given fresh impetus to the idea that celebrities should be given special treatment. The report can be read here. 

Since then my extremely assiduous colleague Mark Conrad has found new information from witnesses interviewed by the Met Police which  are  at odds with the account given by the  original investigating officer and what was broadcast on the BBC  Panorama investigation into child sex abuse. You can read his article on the Exaro website. Mark Watts, Exaro’s editor in chief, has also done an analysis of the police evidence to the committee here.

My main quarrel with the MPs is the conclusions of the report. Not only do they seem biased towards  the investigating officer Paul Settle whose work they describe as ” exemplary” but they appear to ignore compelling evidence given his superiors, notably Deputy Assistant Commissioner Steve Rodhouse.

As Rodhouse put it “I think this investigation was following the evidence where it could and conducting a thorough investigation of all the circumstances. That was not done within DCI Settle’s investigation. I understand his rationale but there were other inquiries that needed to be conducted before we could say we had done the job thoroughly.”

Or “. It is highly unusual to undertake an investigation of this nature without interviewing the person who is accused.”

Not only is this ignored in the conclusions but the report indemnifies Mr Settle before, as the report itself says, there has been a  thorough review by another police force to see if the Met Police got it right. One would have thought the MPs would await its findings rather than act like a kangaroo court in  this instance.

And what are MPs doling praising a senior police officer for NOT following standard procedure in  rape cases which is to interview the accused? Or do they think important people deserve special privileges?

They also attack Tom Watson for intervening in the case. As far as I can see the evidence shows that his points had already been acted on independently by senior Met Police officers, so, in effect, it had no influence. In fact the senior police officers agreed with him. His language about the Brittan at a very sensitive time might be another matter.

Finally the report makes a big point about the police not informing Leon Brittan’s family that the case was not proven. They emphasise that this was appalling because he was a high profile figure.

I understand the problem here is that the police aren’t required to inform any accused person that the case is dropped – whether it is Lord Brittan or Joe Bloggs. That is the point the MPs should take up – they are not elected just to represent celebrities but all the people. And they should  not want special treatment just because someone is famous.

All in all , this strikes me as a report rushed out to meet a media feeding frenzy rather than  considered findings of a group of MPs on how the police should handle a very difficult and complex issue.

 

 

 

Spending Review: Caveat Emptor- Buyer Beware

George-Osborne1

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Today the Chancellor, George Osborne, launched the autumn spending review.

From the statement you might guess that he has climbed down over welfare spending cuts by abolishing his plan to cut tax credits, climbed down over big cuts to police budgets and acted to save the mental health budget and save the NHS from further cuts. All terribly good news along with more money for defence equipment, the security services, already announced.

But if you look at the figures he still planning  the same  huge level of cuts  but apparently with no pain.

For a start we are going to have no changes to the tax credits – yet there is going to be a change to the new universal credit which will replace a whole series of benefits. So the government will still be cutting the welfare bill by £12 billion. No details yet but it will be sneaked through when the figures are announced much later, hitting another group. And he is proposing to sell 20 per cent of the Department of work and Pensions estate- selling off  Jobcentres and benefit offices.

The NHS is getting more money but will have to make £22 billion of efficiency savings and provide a 7 day a week service. How? No details.

The police may not get their budget cut but the budget is not protected against inflation which is expected to start rising – so there is a hidden cuts inside this announcement.

And  the government claimed it had protected the science budget – but within hours engineers were announcing that a major demonstration project into carbon capture – which could save some coal fired power stations from closure – had been cancelled.

And both the extra money for defence and spending by HM Revenue and Customs – on equipment and tackling tax evasion- is going to be financed by axing thousands of civilian jobs in defence and closing down almost all local tax offices.

And while there is a £600m fund for mental health inside the NHS many voluntary organisations looking after the mentally ill and handicapped will be hit by the huge cut in local government funding.

There is more privatisation on the way – the rest of air traffic control, ordnance Survey and the Land Registry.

So what looks like a series of good announcements are often little more than smoke and mirrors. And in this budget it will depend more than most on the small print hidden in government announcements. Journalists are often fooled into first believing the initial message only to find it starts to unravel over the next few weeks when the policy bites. This is a Caveat Emptor Spending Review- buyer beware.

 

How Leon Brittan lost his job as home secretary – Charles Moore’s fascinating account 30 years on

Leon Brittan when he was EU commisisoner in late 1980s

Leon Brittan when he was EU commissioner in late 1980s

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While the  Met police continue to investigate  now into whether top figures were involved in a Westminster paedophile ring in the 1980s a fascinating account of the beginning of the fall of Leon Brittan in British politics has appeared in the second volume of Charles Moore’s authorised biography of Lady Thatcher. Amid all the rows over the miner’s strike, Westland and Europe, are three pages describing the events that led effectively to the demotion of Leon Brittan and how rumours of child sex abuse reached the ears of Lord Armstrong, the Cabinet Secretary, and Lady Thatcher herself.

They explain probably why even today there is controversy over Leon Brittan – such as the recent row over Tom Watson’s intervention over whether the Met Police should have quizzed him over an alleged rape. It also explains why they are still today disputes between those like David Aaronovitch and Dominic Lawson who say he has been unfairly maligned for years and those who are convinced that he was involved in hidden sexual activities.

Charles Moore- who is meticulous in researching every fact  from Thatcher’s private papers – reveals that Leon Brittan – was heading for the chop as home secretary  in the September 1985 reshuffle. He is described as ” the weakest link.”

His book – Everything She Wants – shows that without any rumours Brittan had no Parliamentary following,was seen as a bad TV performer, and even suffered from anti-Semitism from some Tory backbenchers.

He writes: ” He also suffered from rumours that, though married,he was homosexual and even that he had been a child abuser (too often in those days the two were conflated in the minds of man). No one produced actual evidence for either accusation.”

Opinion in the press and government was divided. Michael Jopling, a former chief whip,said: ” I never heard a whisper about Leon at the time”. Sir Bernard Ingham, her press secretary said: ” He always seemed as quaint as a coot to me”- but he had no evidence.

However The Mail on Sunday – contrary to  the view of the Mail today – took a different line and all this is reported to Thatcher by Lord Armstrong.

Jonathan Holborrow, an associate editor of the paper, had met Richard Ryder now Lord Ryder, then a junior figure in the Treasury and according to Ryder told him the paper was ” on a very good thing” about Leon Brittan’s private life.

According to Charles Moore though the memos did not spell it out ” they seem to have involved accusations of child sex abuse, including an alleged relationship with a boy in his early teens said to live in Brittan’s constituency”.

He goes on; ” Its sources was a reliable one, Holborrow said, but ” their investigations had run into the sand, and they really had no usable evidence.”

An attempt was made to say Michael Bettany, an MI5 officer caught trying to spy for the Russian in 1984, had got wind of this and had tried to use for blackmail. But this was knocked down by MI5 who said Bettaney had said no such thing.

The book  reveals that Thatcher did not believe the allegations but did believe that they were troublesome for a home secretary responsible for MI5.

But whatever the truth the knives were out for Brittan. John Wakeham, the chief whip, thought Brittan had been ” promoted a bit high and too quick” and ” wasn’t up to the job.”. And Brittan was moved to the Department of Trade and Industry – a post that he regarded as a demotion in the ” pecking order”. He was later to leave altogether to become a trade and industry commissioner at the European Commission.

All this is worth noting because of a sense of deja vu – even after his death. He again faces similar accusations – though this time it is part of a  full scale police investigation into other figures – and again there is a ”  reliable ” source -a survivor of abuse who came forward.

The outcome is still not known – but the divisions about whether Brittan was involved in such unsavoury activities is as strong as it was 30 years ago.

How a Whitehall mandarin wanted to add insult to injury for redundant steel apprentices

Martin Donnelly, permanent secretary at Department of Business, Innovation and Skills, wanted to stop paying apprentices when they were sacked

Martin Donnelly, permanent secretary at Department of Business, Innovation and Skills, wanted to stop paying apprentices when they were sacked

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The appalling destruction of Britain’s steel industry with the loss of  4000 jobs  -a fifth of the workforce in just one month- has been bad enough.

Ministers have accepted that there appears to be little they can do against the Chinese dumping of steel – and that the steel industry will have to slim down to meet the drop in world wide demand. The trouble is that this decision will mean that it will be Britain that will be getting rid of its industry while governments in the rest of the world decided to keep their steelworks.

But if that was not appalling enough what has happened to a new generation of apprentice steel workers – hoping for a new career in manufacturing. They have been thrown on the scrapheap with other workers -just like the mineworkers.

So it is extraordinary as I reported in Tribune last week that Martin Donnelly, the permanent secretary at the department for business,innovation and skills, proposed that apprentices  should sacked on the spot and unlike other workers receive no more pay or even redundancy.

In a letter to his political boss, Sajid Javid,the business secretary, Mr Donnelly said the cost – some £1.7m of taxpayer’s money – was not justified in Redcar where the steel works closed.

Quoting Treasury rules he wrote: “The required appraisal process concludes that this would not offer value for money even after taking into account the very real economic challenges facing apprentices in the Tees Valley at this time.

“It is the case that apprenticeship training offers a value for money investment… I am also concerned that spending at this level would be repercussive, and might create an unhelpful precedent.”

In this case Sajid overruled him saying “I have to weigh that assessment against the broader objectives of government; including our commitments to localism, and our aim to build confidence in apprenticeships.

“Furthermore, the apprentices of Teesside face a very extreme situation and one which, in my judgement, requires an exceptional and urgent public sector response that is equivalent to the scale of the challenge.”

This struck me as a very mean view for a mandarin to take  – and obviously he was worried it would create similar requests in Scunthorpe, the Midlands and Scotland where other jobs have now been lost.

But it is certainly harsh just to cut off money to apprentices – and the minister was right to overrule him.

Stormin’ Corbyn a hit in Korea (No Mail-on-Line not North Korea but the capitalist South)

Jeremy Corbyn - a hit in Korea

Jeremy Corbyn – a hit in Korea

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While the British media has been uniformly hostile to Jeremy Corbyn – his victory has led to some completely different  coverage abroad.

One TV station “News Tapa”   – a nonprofit online investigative reporting organisation  in South Korea – decided to devote  a half hour programme to what they called the Corbyn Syndrome- for viewers in their country.

The  TV station –  unusual because it is crowd funded by over 35,000 people using a principle also used for byline.com for individuals decided that Corbyn was an interesting phenomenon precisely because he was an example of  a popular rebellion in a mainstream party challenging conventional politics.

According to the broadcasters it hit a nerve in South Korea because politics is seen as remote, dominated by big business and career politicians and not exactly squeaky keen. Sounds familiar? They were also fascinated how a backbencher representing a working class constituency could suddenly capture the minds of so many people and propel themselves to the leadership of a major party.

As Seon-Ju Choi, the London co-ordinator for the programme’s production said :”In S. Korea, the conservative party has been in power for many years now since our president Noh who committed suicide.  In a way, it has been very depressing all the public funds have been radically cut, and many people are struggling due to lack of public service and many of privatisation, etc.  We would love to feature the amazing and exciting story about Jeremy Corbyn’s story, how the left-wing politician has received overwhelming support from the public, and became a leader of Labour Party.”

It The film is in Korean but there are enough British people interviewed – including me- for people to follow most of it.

For those interested the link is here http://newstapa.org/29509 .

It makes interesting viewing.