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Despite the exasperated pleas of Wes Streeting, the ‘resident’ doctors – now all grown-up and no longer ‘junior’ – have gone ahead with their latest five-day strike. This is their 13th bout of ‘industrial action’ since 2023. Despite hefty pay increases granted by the incoming Labour government, way ahead of most other NHS workers, these doctors are self-prescribing further regular injections of cash into their bank accounts. They are also resisting even the most modest reforms: they have registered a dispute over government attempts to ensure that all GPs offer online booking, for example. I can’t see, given the farcical uncertainty over the budget, that Mr Streeting can quickly conjure up anything more than his current offer to pay membership and exam fees. So this weekend’s action will no doubt be followed by several more such episodes. With flu cases rising sharply at the moment, it is hoped that shortages of doctors won’t lead to any preventable deaths. But with 1500 NHS hospitals and tens of thousands of vulnerable patients in the community, BMA leaders cannot say for certain that nobody will peg out prematurely as a consequence. And in any case, there will be huge frustration amongst patients - and their families - about delays to diagnosis and treatment at a time when people naturally feel apprehensive about their medical condition. The Employment Rights Bill, now nearing its final stages in the amendment ping-pong between Lords and Commons, will make it easier for doctors and other public sector workers to organise strike action. Perhaps it is beginning to dawn on the Health Secretary and his colleagues that this might not be quite the good idea it seemed when Labour was in carefree opposition. Over the summer, Kemi Badenoch made a small ripple by announcing that if she were in charge, the Conservatives would ban strikes by doctors. She is not currently in a position to do anything, of course, and as things stand, she may never be. It would be nice if Wes Streeting could persuade his colleagues to follow Ms Badenoch’s line, which (for the benefit of Keir Starmer, Lord Harmer, and other prissy lawyers) is perfectly compatible with our commitments to the International Labor Organization. However, that possibility seems remote. Marginally more plausible would be decisive action to break up the monolithic structure of the NHS, something Mr Streeting has hinted at in the past. This might have the side-effect of introducing a genuine market for the services of doctors rather than the current bilateral monopoly, which produces depressing stalemates such as the current strike. Again, though, I haven’t seen squadrons of pigs overhead. Len Shackleton The best way to never miss out on IEA work, get access to exclusive content, and support our research and educational programmes is to become a paid IEA Insider. IEA Podcast: Managing Editor Daniel Freeman is joined by Editorial Director Kristian Niemietz and Energy Analyst Andy Mayer to discuss the BBC’s turbulent week following misleading edits of a Trump speech, the Government’s U-turns on child benefit caps and income tax thresholds, and Britain’s potential nuclear renaissance — IEA YouTube Growth fizzles out as the Budget loomsCommenting on today’s GDP figures, Julian Jessop, Economics Fellow at the free market think tank the Institute of Economic Affairs, said:
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The UK Budget 2025: Are Old Economic Orthodoxies Dooming Britain?, Head of Media Reem Ibrahim joined Douglas Carswell and Jason McKenna, Left, Right and Reasonable Podcast You’re currently a free subscriber to Insider. For the full experience, upgrade your subscription. Paid subscribers support the IEA's charitable mission and receive special invites to exclusive events, including the thought-provoking IEA Book Club. We are offering all new subscribers a special offer. For a limited time only, you will receive 15% off and a complimentary copy of Dr Stephen Davies’ latest book, Apocalypse Next: The Economics of Global Catastrophic Risks. |