Cutting red tape has cost the taxpayer billions

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accident, allowance, assessment, business, Coalition, Conservative, corruption, Department, disability, disabled, DWP, employment, ESA, government, health, Incapacity, injury, inspection, Michael Fallon, Mike Sivier, mikesivier, minister, money, Pensions, people, politics, red tape, regulation, safety, sick, social security, support, tax, taxpayer, Tories, Tory, Vox Political, welfare, work, workplace

A waste of taxpayers’ money: This is Tory business minister and twit Michael Fallon. The amount of money his ‘red tape’ cuts have cost this country mean he should be behind bars, not in front of them.

Conservative business minister Michael Fallon has announced that the Coalition government’s cuts in ‘red tape’ are saving businesses £1.5 billion every year. How wonderful for him.

What he has neglected to mention is the fact that the taxpayer will have to pick up the tab – possibly at much greater cost.

Fallon reckons the government is “stripping back unnecessary rules that restrict enterprise and act as a brake on jobs and growth”.

For example, the Coalition has:

• Removed thousands of “low risk” businesses from “unnecessary” health and safety inspections;
• Stopped “responsible” employers from being held liable for workplace accidents and injuries that are “totally outside of their control”; and
• Simplified mandatory reporting of workplace injuries.

The words in quotation marks are questionable. Who decides which businesses are “low risk”? Why would health and safety inspections by “unnecessary” in their cases? How do we know an employer is “responsible”, and why – after being labelled as such – should we believe they would not lie about whether an incident was “totally outside of their control”?

The possibilities for corruption are huge, now that the “brake” has come off.

Fortunately, it is possible to measure – very roughly – the effect of these measures; you simply look at the number of people applying for incapacity benefits.

These are people who are unable to work because of illness or injury. Counting them is not a perfect way of measuring the government’s success in cutting red tape while safeguarding employees’ health, because factors other than the workplace may be relevant in a number of cases. However, these should be seen as a minority only.

We know that, in May 2010, before the Coalition government came into office and started stripping away this “unnecessary” red tape, 28,300 ESA claims were awaiting assessment.

From the same source, we know that the number currently awaiting assessment is “just over” 700,000.

700,000!

Mr Fallon wants you to believe that none of these claims relate to his red tape cuts but the increase is simply too large to be discounted.

The lowest possible assessment rate of ESA (the amount they receive before their claim has been assessed) is £51.85 per week. Even if all claimants were receiving this, that’s a cost of £36,295,000 to the government, per week. The taxpayer pays that bill.

Over a year, it adds up to £13,247,675,000.

That’s at the assessment rate. Now, some of these may be knocked off-benefit after assessment – but this process, itself, costs money. It costs £311 per claim, according to the most recent official source available to this blog at the time of writing. Clearing the backlog would therefore cost £217,700,000.

This means the cost of assessing the 700,000 claims that have mounted up during the years of Conservative-led, red-tape-cutting Coalition government totals a vertiginous £13,465,375,000.

That’s almost nine times as much as Fallon thinks is being saved – spent on ESA assessments alone!

What a waste of taxpayers’ money.

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NHS Wales: Better than you’ve been told

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A&E, accident, ambulance, Coalition, Conservative, Democrat, emergency, hospital, Labour, Lib Dem, Liberal, national, NHS, paramedic, privatise, Tories, Tory, Wales

This was not the actual ambulance involved in the case mentioned below. It is intended to be a representative picture of an ambulance. We mention this to head off anyone who wants to point out that it’s the wrong colour.

Readers of this blog will know that Vox Political is a staunch supporter of the National Health Service here in Wales which, under Welsh Labour, remains a nationalised system and still works better than the part-privatised Tory/Coalition patchwork on offer in England.

The site has good evidence of the choice available when dealing with surgery by appointment – but with criticisms focusing on emergency treatment, I have been frustrated by my inability to comment on this aspect of the service from first-hand experience.

Now I have first-hand experience.

Around 5pm today, a lady visiting Casa Vox had a fainting fit, directly in front of yr obdt srvt. Her speech slowed down, her arms and legs started to shake, and she folded up – concertina-like – and dropped to the floor (banging her head on a low cabinet – this was in the kitchen – because I wasn’t fast enough to catch her).

Attempts to revive her seemed to succeed partially, but then she passed out completely.

So Mrs Mike dialled 999 and asked for an ambulance.

What followed was enough to convince me of one fact:

Everything you have heard about NHS Wales, from Conservatives and Liberal Democrats, is wrong.

Even where they have singled out known problems, they are wrong because their solutions are wrong.

They haven’t experienced NHS Wales’ emergency teams in action; they are wrong.

The ambulance arrived within four minutes of the call.

Two paramedics installed themselves in the kitchen and interrogated Mrs Mike and Yrs Truly, while carrying out thorough tests on the unconscious lady.

When they decided they were happy to move her, they brought in a wheelchair and transferred her to their ambulance. Mrs Mike dealt with them after that but they were able to revive the poorly lady and she was able to stroll back in (with the aid of sticks) around 90 minutes after her attack.

This was not a case that required hospitalisation, although the paramedics had discussed it with us; they were considering three hospitals at one point and would have made the journey if necessary. In the end, it was not.

Instead, the paramedics were able to do everything that needed to be done at the scene, cutting out any extra strain on ambulance time and obviating pressure on A&E departments.

Yes, this was a minor case.

But it proved that this blog’s faith in NHS Wales is well-founded.

Yes, it is an extremely subjective viewpoint.

But if anybody wants to put forward a different view, all we have to do is ask:

What’s your experience?

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Free’s a crowd in Tory-run NHS hospitals

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accident, ambulance, bed, block, care, Conservative, emergency, fund, health, long term, Mike Sivier, mikesivier, National Health Service, NHS, opeation, people, pit, politics, sick, snake, surgeon, Tories, Tory, Vox Political, Wales, Westminster

Free’s a crowd (as far as your Tory government is concerned): Our hospital wards don’t yet look like this (it’s a ward in India during a Malaria outbreak) but it’s just a matter of time.

Today, yr obdt srvt spent the morning at Breconshire War Memorial Hospital, where Mrs Mike underwent a few tests before being booked in for an operation at the end of the month.

We didn’t wait long to be seen. The surgeon made his checks, asked “When would you like to have the operation?” and booked it for the very first opportunity available.

We get freedom of choice in the Welsh NHS, you see.

I couldn’t help but comment: “NHS Wales is a mess, says Westminster.”

Conversation ensued, with us all (including the nurse) agreeing that the Tories in government don’t have a clue what they’re talking about – and in any case they don’t have a right to complain because they have withdrawn a disproportionate amount of funding from the NHS in Wales. The surgeon actually compared our politicians to a pit of snakes.

The conversation followed on very well from one I had with a friend last night, about those problems the service is known to be experiencing in Accident and Emergency. They aren’t any different from those affecting the health service in England, and have less to do with the quality of care than they have to do with bed-blocking.

Put simply: Wards are full of people with long-term care needs who have nowhere to go, because they have no family or friends who are willing to take them in and look after them. This means people admitted to A&E cannot be moved into the wards, so their places cannot be taken by new admissions – and this means ambulances start backing up outside the hospitals. Then there are no ambulances available for new emergency calls, because they are still carrying the patients they picked up at the last call.

That’s overly simplistic, but hopefully the point is made.

The Conservative-led Coalition government is perfectly content to let this go on because “Free’s a crowd” in the Tory health system.

Back in the 1970s, when my own grandmother started to get too old and infirm to live on her own, my parents took her into our house. They got the benefit of an extra pair of eyes to look after myself and my brother (Beastrabban), and the household was boosted by the addition of her pension (or rather, the part of it that she agreed to pay for her keep).

It was a very good arrangement.

And it begs the question: Are people now so selfish – so determined to avoid the responsibilities incurred by looking after the people who once looked after them – that they are actively trying to avoid the benefits that can be gained from such an arrangement?

Or (to mess up a metaphor) are we a nation so schizoid that we think cutting off our nose will improve our face?

That’s an attitude that started back in the Tory-dominated 1980s, if my memory serves me correctly.

It occurs to me that (and again, I am oversimplifying) the crisis in A&E is the price we all pay for that kind of behaviour.

It won’t be solved with money.

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A&E fears fall on deaf ears

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A and E, A&E, accident, admission, afford, ambulance, andy burnham, breakdown, Care Quality Commission, CCG, clinic, clinical commissioning group, Coalition, competition, Conservative, cost, cost of living, CQC, crisis, Democrat, doctor, eat, elderly, emergency, frail, government, health, heat, hypothermia, increase, Jeremy Hunt, law, Lib Dem, Liberal, listening exercise, malnutrition, Mike Sivier, mikesivier, National Health Service, NHS, pause, people, politics, poverty, prescription, pressure, queue, rickets, scurvy, sick, Social Care Act, spin, Tories, Tory, trust, Victorian, Vox Political

Andy Burnham, Shadow Health Secretary: He’d rather listen to real doctors than spin doctors.

The title of this article should seem brutally ironic, considering that the Coalition government famously ‘paused’ the passage of the hugely controversial Health and Social Care Act through Parliament in order to perform a ‘listening exercise’ and get the views of the public.

… Then again, maybe not – as the Tories (with the Liberal Democrats trailing behind like puppies) went on to do exactly what they originally wanted, anyway.

Have a look at the motion that went before the House of Commons today:

“That this House is concerned about recent pressure in Accident and Emergency departments and the increase in the number of people attending hospital A&Es since 2009-10; notes a recent report by the Care Quality Commission which found that more than half a million people aged 65 and over were admitted as an emergency to hospital with potentially avoidable conditions in the last year; believes that better integration to improve care in the home or community can relieve pressure on A&E; notes comments made by the Chief Executive of NHS England in oral evidence to the Health Select Committee on 5 November 2013, that the NHS is getting bogged down in a morass of competition law, that this is causing significant cost and that to make integration happen there may need to be legislative change; is further concerned that the competition aspects of the Health and Social Care Act 2012 are causing increased costs in the NHS at a time when there is a shortage of A&E doctors; and calls on the Government to reverse its changes to NHS competition policy that are holding back the integration needed to help solve the A&E crisis and diverting resources which should be better spent on improving patient care.”

Now have a look at the amendment that was passed:

“That this House notes the strong performance of NHS accident and emergency departments this winter; further notes that the average waiting time to be seen in A&E has more than halved since 2010; commends the hard work of NHS staff who are seeing more people and carrying out more operations every year since May 2010; notes that this has been supported by the Government’s decision to protect the NHS budget and to shift resources to frontline patient care, delivering 12,000 more clinical staff and 23,000 fewer administrators; welcomes changes to the GP contract which restore the personal link between doctors and their most vulnerable patients; welcomes the announcement of the Better Care Fund which designates £3.8 billion to join up health and care provision and the Integration Pioneers to provide better care closer to home; believes that clinicians are in the best position to make judgements about the most appropriate care for their patients; notes that rules on tendering are no different to the rules that applied to primary care trusts; and, a year on from the publication of the Francis Report, notes that the NHS is placing an increased emphasis on compassionate care, integration, transparency, safe staffing and patient safety.”

Big difference, isn’t it?

From the wording that won the vote, you would think there was nothing wrong with the health service at all – and you would be totally mistaken.

But this indicates the sort of cuckooland where the Coalition government wants you to live; Jeremy Hunt knows what the problems are – he just won’t acknowledge them. And he doesn’t have to – the media are run by right-wing Tory adherents.

So here, for the benefit of those of you who had work to do and missed the debate, are a few of the salient points.

Principal among them is the fact that ward beds are being ‘blocked’ – in other words, their current occupants are unable to move out, so new patients cannot move in. This is because the current occupants are frail elderly people with no support in place for them to live outside hospital. With no space on wards, accident and emergency departments have nowhere to put their new admissions, meaning they cannot free up their own beds.

Health Secretary Jeremy Hunt had nothing to say about this.

Andy Burnham, who opened proceedings, pointed out the huge increase in admissions to hospital accident and emergency departments – from a rise of 16,000 between 2007 and 2010 to “a staggering” 633,000 in the first three years of the Conservative-Liberal Democrat Coalition government.

Why the rapid rise? “There has been a rise in people arriving at A and E who have a range of problems linked to their living circumstances, from people who have severe dental pain because they cannot afford to see the dentist, to people who are suffering a breakdown or who are in crisis, to people who cannot afford to keep warm and are suffering a range of cold-related conditions.”

He said almost a million people have waited more than four hours for treatment in the last year, compared with 350,000 in his year as Health Secretary; the statement in the government amendment that waiting times have halved only relates to the time until an initial assessment – not total waiting time. Hospital A and Es have missed the government’s targets in 44 of the last 52 weeks.

Illnesses including hypothermia are on the rise, and the old Victorian ailments of rickets and scurvy are back, due to increased malnutrition.

Hospitals are filling up with the frail elderly, who should never have ended up there or who cannot get the support needed to go home because of a £1.8 billion cut in adult social services and support. This, Mr Burnham said, was “the single most important underlying cause of the A and E crisis”; ward admissions cannot be made because the beds are full. The number of emergency admissions of pensioners has topped 500,000 for the first time.

Ambulances have been held in queues outside A and E, unable to hand over patients to staff because it is full. That has left large swathes of the country — particularly in rural areas — without adequate ambulance cover.

The government is downgrading A and E units across the country into GP-run clinics, while pretending that they are still to be used for accidents and emergencies – in the middle of the A and E crisis.

People in England are reducing the number of drugs they are taking because they cannot afford to buy them. Families are choosing between eating, heating or other essentials, like prescriptions.

Competition rules have been stifling care, Mr Burnham said: “The chief executive of a large NHS trust near here says that he tried to create a partnership with GP practices and social care, but was told by his lawyers that he could not because it was anti-competitive.”

He added: “Two CCGs in Blackpool have been referred to Monitor for failing to send enough patients to a private hospital. The CCG says that there is a good reason for that: patients can be treated better in the community, avoiding costly unnecessary hospital visits. That is not good enough for the new NHS, however, so the CCG has had to hire an administrator to collect thousands of documents, tracking every referral from GPs and spending valuable resources that could have been spent on the front line.”

And the health trust in Bournemouth wanted to merge with neighbouring Poole trust, but competition rules stopped the merger taking place.

Mr Burnham demanded to know: “Since when have we allowed competition lawyers to call the shots instead of clinicians? The Government said that they were going to put GPs in charge. Instead, they have put the market in charge of these decisions and that is completely unjustifiable. The chief executive of Poole hospital said that it cost it more than £6 million in lawyers and paperwork and that without the merger the trust will now have an £8 million deficit.

“The chief executive of NHS England told the Health Committee about the market madness that we now have in the NHS: ‘I think we’ve got a problem, we may need legislative change… What is happening at the moment… we are getting bogged down in a morass of competition law… causing significant cost and frustration for people in the service in making change happen. If that is the case, to make integration happen we will need to change it’ – that is, the law. That is from the chief executive of NHS England.”

The response from current Health Secretary Jeremy Hunt needs to be examined carefully.

He said more than 96 per cent of patients were seen within four hours – but this conforms with Mr Burnham’s remark; they were seen, but not treated.

He tried to rubbish Mr Burnham’s remarks about scurvy by saying there had been only 26 admissions relating to scurvy since 2011 – but this misses the point. How many were there before 2011? This was an illness that had been eradicated in the UK – but is now returning due to Coalition policies that have forced people into malnutrition.

He dodged the issue of competition rules strangling the NHS, by saying that these rules were in place before the Health and Social Care Act was passed. In that case, asked Mr Burnham, “Why did the government legislate?” No answer.

As stated at the top of this article. he did not answer the question of the frail elderly blocking hospital beds at all.

The vote was won by the government because it has the majority of MPs and can therefore have its own way in any division, unless the vote is free (unwhipped) or a major rebellion takes place among its own members.

But anyone considering the difference between the Labour Party’s motion and the government’s amendment can see that there is a serious problem of perception going on here.

Or, as Andy Burnham put it: “This Secretary of State … seems to spend more time paying attention to spin doctors than he does to real doctors.”

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How much can YOU pay? A&E charges would speed NHS privatisation

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accident, CCG, charge, Chris Ham, clinical commissioning group, Department of Health, doctor, emergency, expensive, Freedom of Information, GP, health, healthcare, hospital, insurance, Kaiser Permanente, managed care, Managed Care Organisation, market, MCO, National Health Service, NHS, Personal Care Budget, private, privatisation, top-up, UK, undercut, USA

Health-CARE? It seems increasing number of GPs want the person on the stretcher to stump up a fiver or a tenner before the medical staff in the photograph can begin treatment. (Image: BBC – intentionally left fuzzy to preserve anonymity of those involved)

It is strange that more has not been made of the revelation that one-third of GPs apparently believe a £5 or £10 charge should be imposed on everybody turning up at hospital Accident and Emergency departments.

This seems to be a clear next step towards the marketisation of what used to be the National Health Service, disguised with a claim that it would “reduce frivolous use of the NHS and the growing pressure on emergency departments”.

It seems that a poll of more than 800 doctors found 32 per cent said “fees would be the most cost-effective way of cutting the number of people who go to A&E, who could have gone to their GP or a pharmacist instead or did not need medical attention at all”. Presumably they have already tried simply telling people what to do, then.

The story in The Guardian states that “specialists believe between 30 per cent and 40 per cent of all visits are unnecessary and that many patients could have sought help elsewhere because their illness was minor or not urgent”. That leaves 60-70 per cent of visitors paying extra for services their taxes have already funded!

According to the book NHS SOS (edited by Jacky Davis & Raymond Tallis; published by Oneworld), the plan is to convert the publicly-funded nationwide health service into one of “managed” care along the lines provided by Kaiser Permanente in the USA.

This is based on a flawed use of figures (p.39) so Kaiser is in fact far more expensive, but that didn’t stop then-Department of Health strategy director Chris Ham from defending the claims and allowing Kaiser to emerge as the model for NHS reform. This was seen as particularly useful for those with cash to invest in the company or other MCOs (Managed Care Organisations) as they reaped huge profits – until market saturation, government and employer schemes to keep health care costs down, and a series of scandals made the pendulum swing the other way. Then these companies started lowering patient benefits, increasing premium fees and withdrawing from unprofitable markets, and this is very similar to the current situation in England.

Finally, these firms began to expand internationally, to countries including the UK, where the NHS was seen as a hugely attractive business opportunity.

MCOs decide how services are organised and funded for their clients, through contracts with selected providers and rigorous control of hospital admissions. This seems uncannily close to the work of Clinical Commissioning Groups, which were set up under the pretext that they would allow GPs to control budgets, but in practice allow the money to be controlled by private firms that have been hired by overworked doctors – as was always intended by the Tory-led Coalition government.

Government regulations mean private companies must be allowed to bid to provide as many services as possible. Freedom of Information rules mean they can find out how the public service operates and then undercut its bid. Without funding, the public service will close, leaving the way clear for the private provider to pump up its prices – so they will eat up more and more of the limited NHS budget. But which services do they choose?

They choose those that are easiest and cheapest to provide – the services that provide the most opportunity to make a profit.

Accident & Emergency is not one of those services. It will remain with the public sector providers who are being “continuously cut and squeezed into downsizing, mergers, centralisation and closures”, reducing care to “short-staffed, overloaded, ‘centralised’ units”, covering “only those services that the private sector does not wish to provide” (ibid, p.18).

How can services like A&E continue, if the private operators are taking all the cash? The only answer, it seems, is to bring in health insurance. That is the plan, at least – and the proposed A&E charges seem intended to be a palatable way of opening that door to a public that would once have treated the very idea as anti-British and voted the government that proposed it out of office for a considerable period of time.

Next it seems likely that “top-up” insurance will be offered to people whose complex ongoing conditions qualify them for so-called Personal Care Budgets. The budget money will be limited, forcing patients (or rather, customers) to “top them up” with insurance.

Be very clear on this: You are not looking at the thin end of the wedge. The wedge has already been driven in and England is well on the way to having a privatised health service, with the NHS as nothing but a brand under which taxpayers’ money can be handed out to private firms that handle only the simplest procedures.

The intention, it seems clear, is to allow publicly-funded services to wither over a period of time, in order to soften you up – make you more receptive to the idea of paying for healthcare that once was free but may not even be available in the future if you don’t come up with some cash.

Are you going to sit there and wait for that to happen? Private health care, and health insurance, is far – far – more expensive than the NHS, which was the most cost-effective and efficient health provider in the world until the Tory-led Coalition got hold of it. Don’t believe the propaganda – the service had record satisfaction levels in 2010.

You can still stop the rot. To find out how you can work to reverse the damage being done to the most cherished organisation in the UK, visit www.keepournhspublic.com and www.nhscampaign.org.uk

If you’re living in Wales, Northern Ireland or Scotland, don’t think that devolution of healthcare will save you because it won’t. Budgets are already under pressure from Westminster and the Tories will do whatever they can to force regional governments into the same, or similar, patterns.

One of life’s certainties is that you will become ill at some point. Don’t wait until that happens, because it will be too late.

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Reasons to be fearful for a warm Summer’s day

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A&E, accident, Any Questions, bank, BBC, bed, bedroom tax, benefit, benefits, breakfast, CAB, Chris Grayling, Citizens Advice Bureau, climate change, Coalition, committee, Conservative, council, crisis, cut, debt, deficit, economic, economy, Ed Miliband, Eddie Stobart, emergency, energy, environment, food, Gordon Brown, government, Guardian, health, housing, Iain Duncan Smith, Jeremy Hunt, John Finnemore, Justice, Labour, legal aid, Machynlleth, Mark Prisk, Mike Sivier, mikesivier, NHS, Owen Paterson, Parliament, Patrick Mercer, people, Peter Hain, politics, regulation, rural affairs, scandal, social security, speech, tax, Tesco, The Now Show, Tim Yeo. lobbying, Tories, Tory, unemployment, Vox Political, welfare

Hero of the week: Peter Hain put the record straight about the cause of the UK’s current economic woes (bankers) and the Conservatives’ attitude to bank regulation (they wanted less of it before the crash). At long last, the facts came out on a national media outlet!

There are a lot of potential topics for discussion but yr obdt srvt (that’s me) is very short of time on this sunny Sunday, so today’s article is going to have to be a quick run through of Things You Need to Know.

First up, following yesterday’s feature on how the Tories are blaming the civil service for the problems they have been creating, here are a couple more examples: The Guardian tells us that housing ministers are ordering councils to help families stay in their homes, rather than re-housing them in expensive bed & breakfasts for longer than the maximum period. Apparently this breaks the law. Minister Mark Prisk said he had created a £2 million fund to help councils currently breaking the rules.

Nice one. Shame it won’t scratch the surface of the £2 billion that has been spent by UK councils on temp accommodation since 2009 – that’s an average of £500 million per year; 250 times the puny amount Mr Prisk is offering, to alleviate problems his government has created with (for example) the Bedroom Tax.

Meanwhile, The Telegraph tells us that Jeremy Hunt has ordered the NHS to find a solution to the crisis in Accident & Emergency departments – that he and other Tory ministers have created – by next April.

These are further examples of the current Conservative ‘Create a Crisis and Blame Someone Else’ strategy we saw outlined in yesterday’s Vox Political article.

The BBC and many others have reported that Tim Yeo has joined the growing ranks of Tory MPs involved in ‘lobbying’ scandals, alongside Patrick Mercer from last week. Unlike Mercer, the allegation does not involve taking money to raise an issue (paid advocacy) – instead it is alleged that he coached an organisation, telling representatives what to say to the Commons’ Energy and Climate Change committee. It’s still corruption, and it’s staggering that these people are being allowed to continue as MPs while investigations go on, and possibly even afterwards, if they are found guilty. Should we really have people who have been proven to be dishonest, helping to make decisions on the future of our country?

Should we, Mr Cameron? Mr Shapps? Mr… Smith? Mr Hunt?

As some of us predicted long ago, Iain (Duncan) Smith’s benefit cuts (you mustn’t call them ‘reforms’ – that only encourages him) have led to a 40 per cent rise in the number of people seeking help from the Citizens Advice Bureau.

It’s just a shame that funding for the CAB (much of it from the government or statutory authorities) is declining, isn’t it? It’s almost as if somebody planned it that way, to make it even harder for poor people to get any justice. (I write as the vice-chair of a Welsh CAB so, believe me, I know my facts).

On the subject of justice, did anyone hear John Finnemore on The Now Show, laying into inJustice Secretary Chris Grayling’s ‘reform’ (there’s that word again) of the Legal Aid system that will make it impossible for anyone in that system to get justice, unless – you guessed it – they’re rich.

“Legal Aid will have a financial eligibility threshold. To be fair, this doesn’t seem like the worst idea in the world,” he said. “And I can be confident about that, because right there next to it – as if deliberately placed there for purposes of comparison – are two of the worst ideas in the world.

“One – defendants will no longer have the right to choose their own lawyer; two – legal aid contracts will be awarded on the basis of price-competitive tender, i.e. who’s cheapest, to private companies – like Tesco and Eddie Stobart. You know, the lorry guy.

“You might almost wonder whether this might affect the quality of the representation in some way but Chris Grayling, Minister of Justice and dispenser of none, assures us it will not… Even though everywhere else, the government is obsessed with getting us to choose… when it comes to poor people who’ve been arrested, suddenly Daddy knows best.

“The bargain-basement Eddie Stobart Legal Aid lawyers will be paid a flat fee, regardless of results and, best of all, regardless of whether the client pleads guilty – which is quick and cheap – or not guilty, which is not. Yes, Chris Grayling has actually created a system where privately-run Legal Aid firms have a direct financial incentive to persuade their clients to plead guilty, while simultaneously being under enormous pressure to slash costs to the bone in order to put in a tender low enough to keep the contract.

“Meanwhile, the career crims… tend to trust their regular solicitor and take their advice if they suggest they’d be better-off pleading guilty, but they’re certainly not going to take that advice from Eddie McTesco in his ‘My First Lawyer’ costume. So they’re going to start pleading not guilty to everything.

“Well done, Mr Grayling, you’ve pulled off the double – innocent people encouraged to plead guilty; guilty people to plead not guilty. What a merry, madcap world of misrule you have created, Mr Grayling, you absolute tit!”

Finally, still on the radio, did everyone hear Peter Hain on Any Questions, putting the record straight on the reasons for the economic crisis and the facts about bank regulation – two subjects about which the Conservatives have been hugely vocal in their lies for many years.

He was talking about the announcements last week by Labour’s leaders, on their future plans for welfare. He’s critical (which is a relief), but he said it would not be right to make promises about things that Labour can’t deliver.

“We can’t deliver because this economic policy of the Tory-Lib Dem government is failing on a spectacular scale,” he said. “They’re doing all these things, all these cuts, in order to bring borrowing down, the deficit down, debt down.

“What’s happening? Borrowing is £245 billion higher than they said it would be in 2010 when they began this cuts programme. The national debt is £309 billion higher – and the deficit is £78 billion higher.

“It’s because cutting and cutting and cutting is a way to putting people out of work, destroying businesses, they don’t pay taxes, you don’t get government revenues and everybody goes on benefit – that’s why this is a spectacular catastrophe and we’re going to have to rescue the country from that, and we’ve got to do it responsibly and honestly.”

Hear, hear.

Owen Paterson, the Secretary of State for Environment, Food and Rural Affairs, went on the attack with the usual rubbish about Labour overspending but didn’t get very far before Hain put him straight: “It was the banks that destroyed the economy, not the Labour government – it was the international banking system!”

Uproarious applause from the studio audience in Machynlleth (just up the road from me) where the broadcast was taking place. They – like most of the British population – had clearly been waiting years for someone to come out with that simple fact on a national media outlet: The banks caused the current economic situation, not Labour.

Let’s just repeat it: The banks caused the current economic situation, not Labour.

Anyone suggesting otherwise is just plain wrong.

Paterson riposted weakly, “Because Gordon Brown didn’t regulate them”. But Hain had his answer for that ready, as well.

“You wanted lighter regulation. Come on, remember – you wanted lighter regulation!”

And that was also true.

Paterson went further into idiocy by prattling about breaking the national credit card – the kind of stuff that we all now know is nonsense and that has been disproved irrefutably on this blog and in many other places – and about the private sector creating 1.25 million new jobs, which we know it hasn’t done, for example, because 200,000 were education jobs that the government redefined from public to private, probably in order to create another made-up statistic.

In other words, the Conservatives have no arguments for what they’re doing. No arguments about the economy. No arguments about the cuts they have been making.

I’ve met Peter Hain a couple of times, and I’ve had a few differences of opinion with him – but in this instance he was right on the button and far more effective in putting forward an argument for supporting Labour than anything Ed Miliband said in his “we’re supporting Tory policies because we think pretending to be Tories will win us votes” speech last week.

It was one of the worst speeches a Labour leader could have made, but if it prompts more Labour representatives, like Peter Hain, to stand up for the party and present a proper case for opposition to this hateful, incompetent, evil shower – the Coalition – then it might do some good in spite of itself.

Why whine, Cameron? Labour can’t reverse Child Benefit cut because you cocked up the economy!

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Either David Cameron is suffering a touch of sunstroke left over from his foreign holiday, or he is suddenly happy to admit he is a braying buffoon.

That is what we learned from his determination to continually harp on about Labour’s policy on child benefit during this week’s Wednesday Shouty Time (Prime Minister’s Questions).

Also that he has no answer to any questions asked of him about the Coalition’s failure to manage the NHS, or indeed, the national economy.

Ed Miliband’s first question today was about Accident & Emergency waiting times, but Cameron responded about child benefit. To the general public, that makes him a man with no answer.

Pressed on the issue, Cameron resorted to his old standby – waiting times in Welsh hospitals. The last time Mrs Mike was at a Welsh hospital, she waited maybe 15 minutes, between the time she arrived and the time of her appointment. More recently, I had to take a neighbour to hospital for some emergency medication for a mouth abscess. She was seen immediately.

Immediately.

And we live in Wales.

(I’m not denying that the health service could be better but improvements are constantly taking place – and what’s more, over here, they make changes in consultation with the public! I mention this to make the distinction between it and, say, coming out with hugely unpopular plans, halting the process for a so-called “listening exercise”, paying no attention to the results of that exercise and pushing through the original plans regardless. That’s the Cameron method).

We had no sense from Cameron about A&E – but was he making a good point about Child Benefit? Was Labour now supporting the Coalition’s decision to change it from a universal to a means-tested benefit, despite its bitter opposition when the cut (and don’t think it’s anything else!) was first announced.

Of course not. That would be silly.

The fact is that, if Labour comes back into office in 2015, the party’s leaders believe it will be extremely unlikely that enough money will be available to fund the restoration of universal Child Benefit.

That’s not a U-turn by Labour – it’s economic mismanagement by the Conservatives (and their little yellow enablers, the Liberal Democrats).

When George Osborne became Chancellor in 2010, he vowed to eliminate the national deficit by the next election in 2015. Some of you might have forgotten that; he said he would balance the books by then, making it possible for the (poor people of the) country to start on the national debt (because the rich people have parked £21 trillion in foreign tax havens and the Tories are determined not to do anything about it, even though collecting some tax would solve our problems in a stroke).

The 2015 election is now less than two years away. You might think the Coalition has done well, as it continues to claim the elimination of a quarter of the deficit. That was announced in 2012. In the year to 2013, it eliminated something like a quarter of one per cent of the deficit – maybe even less!

Borrowing continues to increase under this Coalition government. It has failed in its reason for existing.

That’s why Labour won’t be able to restore universal Child Benefit.

And that’s why David Cameron is a babbling buffoon.

BBC utterly misleads on the NHS – yet again

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A&E, accident, BBC, Coalition, complaint, Conservative, emergency, health, Mike Sivier, mikesivier, mislead, news, people, points, politics, report, sick, television, Tories, Tory, view, viewer, Vox Political

The facts about A&E: You didn’t see this graph in the BBC report but it provides much more relevant information about A&E waiting times – they were lower throughout the Labour government than at any time other than the first quarter of a year under the Conservatives – sorry, Coalition – which was of course before the first cuts were made.

Have a good look at the graph above these words.

Now read this article, from Skwawkbox, about a misleading BBC report on the NHS.

Afterwards, you may wish to complain in the strongest terms about the way the public are being led down the garden path by a once-great bastion of independent news reporting that has now become nothing but a mouthpiece for the ruling regime and its propaganda. You can do so by visiting this web address.

Alternatively, you could write to Points of View, and see if Auntie is brave enough to have her dirty linen washed in public. Contact the Points of View team by email – pov@bbc.co.uk – or write to: Points of View, BBC Northern Ireland, Belfast BT2 8HQ. You can also send your opinions via video-phone or webcam. Send your video submissions to pov@bbc.co.uk

Be polite, no matter how incensed you might feel.