Forum Topic

It’s pretty clear that many of the policies adopted by Labour are little different from those pursued by previous Conservatives administrations:1) On the conflict in the Middle East, Keir Starmer supports Israel’s right to defend itself2) On the war in Ukraine, Starmer is in favour of sending arms to the Ukrainians3) On China, David Lammy is currently seeking to improve relations with the Chinese leadership, much as David Cameron did over a decade ago4) On income tax, Rachel Reeves  will not introduce new bands to tax the rich5) On pensioners, Rachel Reeves has decided to withdraw winter fuel allowance, a policy considered but rejected by Theresa May6) On sickness benefits, Liz Kendall intends to tighten welfare payments, just as Mel Stride intended to do7) On the NHS, Wes Streeting intends to buy in services from private hospitals.The current Labour leadership (or most of them) are actually quite right wing, which doesn’t bother me, though I disapprove of the policies on China and the WFA. But though government ministers make statements like ‘Britain is open for business’, they cannot entirely divest themselves of two notions which have their origin in Labour’s socialist tradition. One is that private enterprise equals exploitation. The other is that the poor are poor because the rich are rich, so the duty of any government is to attack privilege and eliminate inequality. These two beliefs make Labour constitutionally incapable of running a market economy successfully. The first leads them to increase the size of the state. Public enterprises, which supposedly work for the common good, are seen as more honourable than private businesses, which are purely run for profit. So for example Labour  cut Conservative plans to cut 66 000 civil service jobs and by the same token they awarded public sector unions inflationary pay settlements. It is not so much socialism as state capitalism.But to pay for all this Labour need to raise taxes. The second belief leads them to target those regarded as rich, hence the plan to impose VAT on independent schools, to tax non doms on their overseas income and, it seems, to raise employers’ contributions to National Insurance. Every one of these taxes is likely to backfire. The imposition of VAT on education will cause private schools to close, creating teacher redundancies and placing additional costs on the state sector (not to mention the unfair treatment of the children affected). Taxing the non doms willl cause many of them to move to other tax jurisdictions such as Italy, with a consequent loss to the Exchequer. And increasing employers’ contributions will ultimately lead to smaller pay packets for employees.

Steven Rose ● 68d

I wasn't necessarily talking about the NHS but yes, there have been problems with returning items.  It was once considered too expensive to collect, clean and check the safety of equipment before reuse - and cheaper to issue  You will now find some of them listed on the newly updated Recycle Now website.  Recently I've found that there is equipment which used to be supplied through hospitals or Local Authorities now being supplied through a company called Medequip.  You can find them listed on Recycle Now but the problem is that you have to return or take items to them at only a few collection points or you may be able to arrange for them to collect from you.  However, it isn't always easy to organise this if you are not living at the address from which the items need to be collected - and especially if you also do not have transport and can't transport it anywhere nearer and more convenient ie a local NHS clinic as a hub for further collection.  And is it actually being reused or just treated as scrap metal or incinerated for fuel?We had a very swift and easily arranged delivery and collection from a private hirer for an electrically operated pressure cushion, the hire of which was arranged by the District Nurse.Years ago I remember being told of very expensive electrically operated equipment being sold or taken to the tip by the relatives of patients who had died.  I don't believe that those relatives necessarily knew where the equipment had come from.  Equipment on loan needs to be marked up very obviously. There is often a lot of pressure to clear homes and residential care rooms very quickly following a death. Whereas I expect you could and should charge the parents of drunk and disorderly teenagers I would imagine it would be pretty difficult and time consuming to charge those who are older and perpetually drunk.Those who turn up at A&E are triaged so I would imagine it would take an awful long time for you to be seen if they didn't think you needed to be there.  However I do recall reading of someone with a very bad headache who hid from the light under a coat and then wasn't noticed until it was too late.Every so often you do hear of a hospital asking for crutches and walking aids back.  There need to be better collection points as those who have them may have arrived at hospital by ambulance and there could be more accessible collection points.

Philippa Bond ● 69d

Martine. I have dealt with plenty of stupidity and ignorance that is associated with modern bureaucracy and I have dealt with the elderly with challenges.  The lists of acceptable ID I've come across includes driving licences, shotgun licences and passports all of which have to be current.  How many people registered blind and in their late 90s do you think have those?  The world wide web is still a complete mystery to some people even when they are actually using it, management is severely lacking or missing nowadays in organisations and many forms - online or paper are horrendously badly written and designed.  Then in the physical world you also have to consider all the buildings and transport you can't actually access despite Disability Acts!This is exactly why I have repeatedly said that many people need help with accessing the further help they need and that there IS help out there and they need to find it. Just whingeing is not constructive enough.  If they don't have children and family and friends to help them people will also ask their Councillors to help them access and deal with both Council help and help through their MPs when their Councillors can't help.This isn't something new it is just another challenge in a world that does not stand stkll.  Funding public services properly would make a great difference.  Staffing shortages due to cuts and stress due to poor working conditions causes a lot of stress for everything.  The loss of experienced staff seems to have been calculated for only in terms of salary cost savings and not in any other ways such as the knowledgeable and smooth running of matters.I suggest you try listening to Nicky Campbell's Radio 5 Phone In and you'll hear lots of discussions of topical personal experiences.

Philippa Bond ● 69d

Martine. Yes, in the real world dealing with "the bureaucracy" is a problem. There are a number of separate issues dealing with DWP, HMRC and other government agencies. There's the pressure to use on-line methods - I don't personally have an issue with that other than some websites and apps are poorly designed and not very "user friendly" - and I  know some elderly people are uncomfortable using these facilities; then there's the issue of verifying one's identity - if you've got a driving licence and passport not really problem but some people have neither, that's likely to create a brick wall to proceeding on-line and if hurdles for the elderly renewing driving licences increase there may be a need for a non-driving driving licence that they have in the US - essentially an ID card as used in Europe. (But then if people aren't briefed in using on line facilities securely is there a risk of more identity fraud?) When selling my mother's flat on her entry into a care home the purchaser's solicitor asked my mother's solicitor if they'd checked my mother's photo I'd - I think unnecessarily as I had power of attorney and my identity had been checked, my mother had never learnt to drive and on her one venture outside of the UK several decades ago had used a one year only British visitor's passport - how many remember those? Fortunately, our solicitor took a pragmatic approach as my mother had used them previously for other business, so they accepted her bus pass with a photo as evidence of her identity. Modern life just gets more complicated? Perhaps not too bad if one has relatives to assist, but, if not, even if one has money, someone on their own without assistance and who can't cope can get into a Bazantine administrative mess ...

Michael Ixer ● 69d

There is an argument to be made against universal benefits like the winter fuel allowance. There is no reason why the taxpayer should fund payments to people who don’t need them  (e.g. Paul McCartney, to name one obvious example) when the money could be better spent elsewhere.  But it is obvious that the government have gone about this in entirely the wrong way. To begin with, they should first have ensured that the estimated 800 000 households who are entitled to pension credits actually receive them. Then they should have considered the position of those whose monthly income exceeds the cut off point for pension credits but who still cannot afford to heat their homes, one or two of whom have explained their situation on the Forum. Some form of graduated fuel allowance depending on income could perhaps be put in place. Keir Starmer has received a degree of flak from the media on this issue but not nearly enough. I have yet to hear a television journalist  ask him whether he can afford to heat his own home and if so how he feels about pensioners who will have to choose between hearing and eating this winter. He has also been allowed to get away with the continual refrain that the problem is entirely due to the £22 billion black hole left by the Tories. At least £9 billion of these supposed liabilities has gone on pay settlements to the doctors, train drivers and teachers. Keir Starmer argues that the Tories failed to budget for these pay awards. I have no idea whether this is  true, though it seems unlikely given the scrutiny exercised by the OBR, but it was Starmer’s decision to give these public sector unions inflationary settlements in excess of the sums recommended by the respective  bodies. I can’t remember a single journalist pressing him on this point. In any case the spurious nature of the supposed black hole has now been exposed by the fact that the £22 billion has now mysteriously turned into £50 billion. Whatever sum Labour intends to spend, whether £50 billion or £100 billion, they can always attribute it to a deficit left by the Tories.

Steven Rose ● 69d