GOOD AFTERNOON & welcome to my weekly update no.305
Westminster is gearing up for the Chancellor’s Spring Statement which was supposed to be a quiet affair but looks like it won’t be because she has run out of money. Locally we have a huge gala dinner on Friday to raise money for the Royal Surrey’s new Cancer and Surgical Innovation Centre.
WHAT’S GOING ON IN WESTMINSTER
NOT A TIME FOR TINKERING I added my twopennyworth as former Chancellor to flood of advice Rachel Reeves has been getting ahead of her Spring Statement in an article in the Sunday Times. I also spoke about it on LBC. The Autumn budget was a disaster for business but my biggest worry is that if the Chancellor is not bold enough on Wednesday, we will back in the same place later in the year. Getting the adult age welfare bill down to pre-pandemic levels would save £49 billion - a huge amount that would avoid the need for further tax rises/spending cuts and allow more money for defence. And given the pandemic is three years behind us, that does not seem an unreasonable objective for the next five years. It would also be good for business who need to fill over 800,000 vacancies in the economy at the moment.
REFORM THE STATE Rachel Reeves told Sky News that she is confident that she can cut civil servant numbers by 10,000 although the Times reports that this number could actually be as high as 50,000. Either way it is less than the plans I left in place, which were to return the size of the civil service to pre-pandemic levels. Since the pandemic, ONS data shows that the total headcount of the civil service has increased by around 100,000 – a whopping 21% jump - which is surely unfair given the pressures the private sector are going through right now. I spoke about this issue on World at One today with Sarah Montague and also how government departments always try and fend up Treasury requests for savings with ‘bleeding stumps’ - politically impossible suggestions to scare the evil Treasury away. Bridget Philippson’s threat to cancel free meals for infants is a classic of the genre.
NURSING NIGHTMARE Last week, Channel 4 Factcheck revealed that a worrying shortfall existed between the planned and actual number of nurses on wards around England. Most worryingly, it found that a third of neonatal units and maternity services were 10-20% understaffed. I was disappointed as you can see from this interview with Cathy Newman because I forced the NHS to collect and publish ward staffing levels as part of the government’s response to the Mid Staffs scandal. They stopped doing so after I stepped down - and now perhaps we know why. I increased the number of nurses we train by 25% in 2016 and then doubled them in 2023 as part of a new long term workforce plan so the crucial issue is how we make sure wards are safe as we wait for the new nurses, doctors and midwives to come on stream.
AND THERE’S MORE Today I warm to the theme with an article on how to make maternity services safer in a newspaper not known for giving a platform to Conservatives, namely the Guardian. I am concerned that the major upheaval currently going on in the NHS will lead to managers being distracted and more avoidable deaths. A recent report from Imperial College commissioned by the charity I set up, Patient Safety Watch, found that half of our patient safety metrics are trending in the wrong direction. As I say in the article, 37 patients die needlessly each day in the NHS. More positively, if we reached the same maternity safety levels as Sweden, more than 1,000 more babies would live each year.
SAVE US FROM SEWAGE On Thursday morning, I asked the Secretary of State for Environment, Food and Rural Affairs about the state of sewage leaks by water companies across the UK. In Godalming and Ash, there were over 1400 hours of sewage discharges in 2023, including a shocking 690 hours in the Cranleigh area alone. This is unacceptable. As Chancellor one of my very first decisions was to change the rules so the fines paid by water companies go into cleaning up rivers not back to the Treasury. Last year, Thames Water promised to invest £400m to clean up local rivers by the end of next year so I am trying to find out if, with all their other problems, this money is actually being spent.
BEAT BRAIN TUMOURS March is #BrainTumourAwarenessMonth, an issue close to my heart after the death of my predecessor as Culture Secretary and friend Tessa Jowell. Last week I joined MPs from across the political spectrum in signing a letter to the Health Minister to ensure that those affected by brain tumours are not left behind in the government’s upcoming 10-Year Health and Cancer Plans.
WHAT’S GOING ON LOCALLY
UNITARY SUBMISSIONS ARE IN so now it will be up to the Government to choose their preferred option when Waverley and Surrey County Council are abolished. The decision seems to boil down to whether it’s two or three unitaries for Surrey. Surrey itself supports two unitaries whilst some of the LibDem Districts and Boroughs want three. Click here for a very useful summary of Surrey’s position which I support, mainly because I am worried we might not be able to handle Woking’s £2.2bn debt if we end up as part of a small successor authority. There was also more drama following last week’s ‘skewgate’ video by the Lib Dem Leader of Waverley as both he and the CEO came under intense scrutiny across Surrey - here is one example by the R4GV leader in Guildford’s Full council meeting.
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