the people

Silent Majority Speaks

Rescuing Democracy in the United Kingdom from our current Elected Dictatorship

Spin, not face-to-face confrontations with the voters, is the Government's chosen method of communication. Ordinary people are dangerous. Ordinary people might ask a question which throws a politician 'off message'; the Cabinet member might reveal himself or herself to be a human being like us, and not a programmed android. Worse still, he or she might tell the truth.

Ann Leslie - Daily Mail, September 16, 2004

Blair wants to leave his mark on history - looks more like a stain to me.

Peter Thorndyke, Diss, Norfolk - Daily Mail, May 23, 2005

I know I'm me - why do I need an ID card?

"Sorry, officers, I don't have an ID card. I never applied for one. It seemed a bit steep at 300 quid. I do have my free passport, my driving licence and my London freedom travel pass, each with my photograph. I have my NHS medical card, with its lengthy number, given me at birth, my RAF service book with my Armed Forces number, and a chit authorising me to wear a few gongs -including a General Service Medal with Malaya bar, for fighting communist terrorists on behalf of my country, or so they told me.

"I've also got various credit cards and store cards, all with my signature on the back, generally good for buying the everyday requrements for life as well as the odd luxury. If you decide to arrest me, I suppose I'll have to be photographed and given another number, besides my PINs.

"I'm afraid I haven't got a pension book; it was taken away."

"By thieves, sir?"

"No ... well, not exactly. By the Government. By the way, may I see your warrant cards please, gentlemen?"

Oh dear, they've disappeared. E. Harry Gumer, Romford, ESSEX - Daily Mail, June 1, 2005

NO means NO

When does NO mean MAYBE? When it's not the answer the EU wants. With the courageous French NON resounding in their ears, shabby, undemocratic self-interested leaders of Europe propose ignoring the part of their precious constitution that requires ratification by all members and continuing without one of the biggest founder members to prevent derailing the gravy train.

As in Ireland, they refuse to accept any NO votes, ignoring the will of the people, and re-stage votes until they can engineer the 'correct' answer. Sadly, Foreign Secretary Jack Straw dances to their tune like a puppet on a string. With tactics such as these, how can anyone really believe the EU has our interests at heart. Letter from Steve Penny, Kingsnorth, Kent - Daily Mail, June1, 2005

Surely the French result makes the £1million the EU recently spent on a treaty signing ceremony seem a trifle premature and extravagant. Letter from Keith Wiseman, Bury, Lancs. - Daily Mail, June1, 2005

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Britain has traditionally been one of the biggest net contributors to the EU because we do not get as much money back from Brussels in farm and regional subsidies as our rivals.

According to Treasury figures, between 1995-2002, Britain's average contribution taking the rebate into account, was £2.6billion, or £43.55 per head of population.

The French - the biggest recipient of farm subsidies - contributed £1billion a year or £16.08 per head of their population.

May 28, 2006 (1114 days since war ended)

Death Toll: 2464 US - 111 UK - >60,000? civilians - 25 media

Tony Blair should know that respect comes by example - from the top. If a country's leader has no respect for the rule of international law and no respect for the truth, how can he expect anyone to have respect. Letter from P.J.Atkinson, Ashford, Kent - Daily Mail, January 12, 2006

The Chancellor's single greatest act of vandalism in almost nine years in office has been his wanton destruction of Britain's private retirement industry. By slapping a massive tax on pension funds, now worth £7.3billion a year, he has helped to turn the best private retirement industry in Europe into a basket-case in perpetual crisis. Together with the adoption of European accounting rules - which make it much riskier to operate a company pension scheme - hundreds of firms have shut their final salary plans to new employees and slashed benefits to existing staff. From Allister Heath: "I've seen the future and its grey" in THE SPECTATOR - April 15, 2006

Nine years ago the British people were sold a fantasy of clean and competent government of principle and honesty. Its shiny wrappings stripped away, the product now reveals its true nature: Personal greed, arrogance, incompetence, shamelessness, rash warmongering and an inability to accept - as is clear to almost everyone else - that it is time to go. Editorial - The Mail on Sunday, May 28, 2006

STOP PRESS

I'm quitting the NHS over the tyranny of targets and tick-boxes

Commentary by David Penman - Consultant Gynaecologist, who resigned yesterday - Daily Mail, June 8, 2006

The emptiness of the Government's feel-good rhetoric on the Health Service is now becoming ever more apparent as the crisis in our hospitals deepens. Yesterday, in a scathing attack on the Government's NHS policy, the chairman of the British Medical Association consultants' committee warned that 'something is going very badly wrong' in the Health Service.

He went on to claim that 'care is suffering, jobs are disappearing and patients and staff are paying the price'. Representatives at the BMA's annual consultants' conference also accused the Government yesterday of 'short-sighted' manpower manning and voiced fears about a 'crisis' in the employment prospects for junior doctors.

As a consultant gynaecologist, I fully agree with the BMA leaders' indictment of the Government's approach, which he described as a tale of 'shocking incompetence'. Indeed, I have been so disillusioned by ministerial mismanagement, empty propaganda and warped political priorities that I have just handed in my notice.

What we have now is health rationing, where political instructions override clinical needs. I never thought that such a moment would arrive, for throughout my medical career I have had a strong commitment to the NHS. But I have grown so fed up with the soul-destroying, manipulative culture of target-setting and managerial interference that I prefer to resign rather than put up with the bullying, wasteful politicians and bureaucrats.

I resigned from my post at the Medway Maritime Hospital in Kent days before I was due to attend an internal disciplinary hearing, held to discuss an alleged breach of my employment code of conduct. My supposed crime did not relate to any clinical matter or professional ineptitude. In the eyes of my accuser, I had committed the more serious offence of daring to speak publicly about the way I was being prevented from doing my job properly by the ridiculous decisions of hospital managers.

Essentially, I had been told that many operations for patients on my waiting list were postponed until the next financial year in order, it was claimed, to save money and meet Government targets. I found this utterly absurd. I had the capacity to carry out the operations, but, thanks to some bureaucratic diktat, I had to sit around completing Sudoku puzzles rather than dealing with my patients. This is no way to run a health service in an advanced, wealthy country.

The British public, which pays for the NHS through an increasing heavy burden of taxation, is not receiving the health care it deserves. Instead, it is subsidising a creaking edifice of statistical fraud, political dogma and over-mighty officialdom.

The Soviet Union used to issue annual figures trumpeting remorseless increases in tractor production. Yet the economy remained mired in crisis. The same is true of Patricia Hewitt's numbers showing record falls in waiting lists and record numbers of operations. Anyone who has worked in the frontline knows the system is failing badly.

The best year ever ... for management consultants

By Benedict Brogan, Kirsty Walker and Emily Cook

Daily Mail, June 8, 2006

The NHS squandered an estimated £1billion on management consultants last year, senior doctors were told yesterday. At the same time hospitals also paid out huge sums of money to their own managers - with some spending more than £1million on director's salaries alone.

In a devastating attack Dr Paul Miller, leader of Britain's hospital doctors, mocked Health Secretary Patricia Hewitt's recent boast that the NHS has had its best year ever. "This has been the NHS's best year ever .. for management consultants .. for losing staff ... for wasting money," he said.

He warned ministers that if they continue with present policies they will destroy the NHS. Dr Millar, chair of the British Association's Consultants Committee, said that management consultants charged the public sector an estimated £3billion in 2005. Of this, he calculated around £1billion may have been charged to the NHS.

He told the BMA's annual consultants' conference yesterday: "It is hard to avoid the conclusion that we are working in a service which is being broken by policies which don't work, devised by officials who have resigned, implemented by managers who don't believe, on staff in disbelief and patients without a say. Enough is enough."

A spokesman for the Department of Health said: "Overall we are reducing management costs in the NHS and will save £250million each year following PCT streaming. We only bring in consultants where they add to management expertise, not duplicate it."

It will be a huge wrench to leave the Health Service, for it has been part of my family for decades. It was in December 1997 that I was appointed as a consultant gynaecologist at the Medway hospital in Kent., At that time, there were high hopes that the newly elected Labour Government might embark on a radical programme of improvements for the NHS, for this had been a central theme of its election strategy.

For 18 years under Tory rule, the NHS had been muddling along with limited resources and lukewarm political support. But I gradually came to see that the new Government was not interested in real reform. With a vast expansion in tiers of officialdom, the NHS began to transform itself from a health service into a centralised system of meeting targets and ticking boxes.

The jobs of senior managers depended not on improving patient care but on adhering to statistical goals laid down by Tony Blair and whoever happened to be his Health Secretary at the time. This neurotic obsession with meeting targets, come what may, led to a host of absurdities. On one hand, a certain sum would have to be saved on the clinical budget every year. But, on the other, every patient would have to be treated within a certain timescale, which could increase costs.

Similarly, I witnessed the phenomenon of 'hot-bedding' where rapid patient turnover was encouraged regardless of clinical care. Sometimes, it could be less than ten minutes between the departure of one patient from a certain bed and the arrival of the next. With so little time to clear up, it is no wonder that infections such as MRSA are increasing so rapidly.

This statistic-driven culture also meant that any service which did not have its targets set by central government would not be treated as a priority. As a result, it would be deprived of resources and staff. I saw this in my own department, the only specialist foetal unit in the area. But because we did not have targets, we were starved of funding and the service was run down.

To the paper-shuffling managers, our helping women through problem pregnancies was an irrelevance. My disenchantment came to a head at the end of last year when I found out that, as a result of Government guidelines on annual financial targets, the hospital had decided that all new routine out-patient cases had to wait a minimum of nine weeks before being seen, while all routine surgical cases had to wait a minimum of 20 weeks. So even if we had the capacity, we were still not allowed to treat patients.

The situation became even worse when I discovered in February that managers were shifting my cases into the next financial year so that the costs of their treatment would not be in the accounts for 2005-06. The idea that this would save any real money was ludicrous. All that this statistical manoevring achieved was to create a backlog for April and May. I'd had a bellyful by this stage and went public with my anger.

Having spoken to the media, I was hauled before the chief executive, and, like some political criminal, asked to explain myself. I pointed out that, under the terms of my contract, I was free to publish articles, books, give lectures and make comments to the media. But still I was threatened with disciplinary action.

So I have decided to quit. I felt I had no alternative. The NHS, is seems, is more interested in gagging its staff than in listening to their genuine complaints. The truth should not be heard. Distortions and spin must prevail.

From now on, I shall be working in the private health sector. I shall miss my NHS patients and many wonderful colleagues in the NHS - from fellow consultants to nurses to ancillary staff such as porters and cleaners. I won't miss constant pressure from oppressive managers and politicians.

B A C K

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