Tag Archives: politics

Could we see more GP MPs?

One of the big news stories this week has been the selection of Devon GP Dr Sarah Wollaston to stand as the Conservative candidate for Totnes in the next general election. Totnes is a safe Tory seat, so it seems very likely that Dr Wollaston will be heading to Westminster at some point next year.

What was unique about the selection process was that it was run along similar lines to the way some American primaries are run. Every voter in the region, regardless of which party they support, was eligible to vote to select who they wanted to represent the Tories.

Many commentators have said that, because the process was so expensive to run, it may not be repeated. But it has shown a real appetite for change among voters – perhaps not surprising in the wake of the MPs’ expenses scandal.

Some 24.6% of voters took part (more than take part in some council elections, apparently) and the fact that they chose Dr Wollaston, a person with no political experience, sends a real message to those already in power.

Dr Wollaston beat off competition from the chair of a local council and the mayor of a neighbouring town. During the three-week campaign she had little time for campaigning because her practice was battling to deal with swine flu and her locum called in sick. Yet despite this, she still won convincingly.

There is an interesting piece in today’s Times by Nick Bye, the mayor of Torbay, who Dr Wollaston beat in the selection process. He says that part of the reason she succeeded was because she realised that party-political point scoring was not what voters want.

‘The victory of Dr Wollaston … was not a victory for anti-politicians or anti-politic,’ he writes. ‘Rather, it was a victory for a different style of politics. Voters clearly want their MPs to be much less partisan, much more open-minded and pragmatic in the way they deal with issues.’

I would imagine that the fact Dr Wollaston is a GP also played a part. Despite what the government and the Daily Mail would like to have us think, GPs are highly valued and trusted by the general public. They play a key role within local communities, are respected and are in a position that people can relate to and understand. For many, a GP would be the ideal candidate to vote for.

So, could Dr Wollaston’s success herald an influx of GPs to parliament?

 

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What’s the point of the NHS leadership council?

I’m so disappointed that Jamie Oliver has missed out on membership of the new National Leadership Council for the NHS.

What can Greg Dyke do for the health service that Jamie couldn’t achieve with his powerful blend of homespun wisdom and swearing?

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Obama’s new health secretary Kathleen Sebelius

If Alan Johnson thinks he has a tough job, then how must Kathleen Sebelius feel as Obama’s new health secretary?

At lunchtime today the Kansas governor is due to be unveiled as head of the US Department of Health and Human Services, but is already facing a storm of protest for her pro-abortion views.

And that’s just for starters. Governor Sebelius is renowned for her bipartisan approach to politics but is going to have her work cut out for her tackling the problems now facing the US health system.

While the UK government has been busily importing the American way of healthcare provision, the US system has been slowly running out of steam.

As costs have spiralled, efficiency has remained low, access has declined and standards of care have slipped. According to the latest national scorecard on the US healthcare system, in 37 indicators of core performance, the US achieved 65 out of a possible 100.

Some 42 per cent of adults are uninsured or underinsured, and the country now ranks last in a table of 19 on a measure of ‘mortality amenable to medical care.’

So it’s going to be an interesting breakfast meeting at the King’s Fund in London this month, when Tony Blair’s former health adviser Simon Stevens, now president of global health for the UnitedHealth Group, will be telling NHS managers what more can be learned from the US health experience.

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Cannabis, ecstasy and horse riding

We had more evidence this week of the government listening to its advisers when it suits – and ignoring them, or even slating them, when it doesn’t. Which is nice.

So we heard the chairman of the Advisory Council on the Misuse of Drugs being pilloried by the home secretary for comparing the risks of taking ecstasy to the risk of dying from horse riding.

On the other hand, Jacqui Smith was happy to accept the advice of the chief scientific adviser when he came out in favour of reclassifying cannabis, despite MPs having a pop at him for ignoring the evidence.

But of course the ‘Equasy’ storm has also served another purpose in helping to bury the other story billowing up around home secretary Jacqui Smith.

Ms Smith reportedly claimed £116,000 in expenses for her Redditch family home after telling the House Commons that her sister’s London home was her main residence.

When I worked on the local newspaper in Redditch many years ago, I remember Ms Smith as the prospective Labour parliamentary candidate for the area, who was constantly popping in through the back door of our office to beg for media exposure.

We were all rather disappointed when she eventually won the seat, because the old incumbent, arch-Tory Eric Forth was far more exciting (indeed Rik Mayall was supposed to have based his Alan B’Stard character on him). Which is probably why he never made it to home secretary.

 

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Former health secretaries return to haunt us

As the general election rushes ever closer and GPs desert Labour in droves, 2009 is already beginning to look like a year of comebacks for politicians from the past – particularly former health secretaries.

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Labour policies threaten the future of general practice

This week, GP reveals that support for Labour among GPs is in freefall. This is not unexpected, but the extent of the swing away from the party towards the Tories shows just how unhappy GPs are with the government.

Backing for Labour has fallen by two-thirds in the past decade, from 44% in 1997 to just 15% now. Over the same period, support for the Conservatives has surged from 24% to 50%.

The Tories are, unsurprisingly, delighted with the results. Andrew Lansley, the shadow health secretary, said: ‘This is a real vote of confidence in the Conservative party’s policies for the NHS.’

But, is it? Our survey suggests that the swing is a result of disillusionment with Labour as opposed to anything else. Over half of GPs rated Labour’s performance on the NHS since 1997 as ‘poor’ or ‘very poor’.

Considering the record investment the government has made, the introduction of the QOF which has significantly improved patient care and a massive fall in deaths from heart disease, among other achievements, this may be surprising to those outside the profession.

But, during the past few years the government has unleashed a series of policies that many feel have been designed to undermine GPs and could eventually bring the end of general practice as we know it: the expanding role of the private sector and the introduction of GP-led health centres to name but two.

Add to that an ultimatum that practices must open for longer (regardless of whether their patients want them to) or lose money; three successive annual pay freezes; an increasing insistence that GPs follow a dizzying array of protocols and guidance rather than using their own judgement; and an apparent fondness among some at the DoH to indulge in a spot of public GP bashing, and it is not hard to see why GPs are so disillusioned with Labour.

We’re interested in knowing what you think about all of this. Does the Conservative Party actually have better policies on health – or, is it just that anyone else is better than the current lot? What has been Labour’s biggest mistake during the past 10 years to cause this massive shift? What policies would you like to see dropped or introduced?

You can post your comments below to let us know what you think.

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