My question to the Health Secretary about the use of expanding bed and staff capacity in hospitals

Rt Hon Sir John Redwood MP:

Why has some of the substantial extra money for the health service not been used to expand bed and associated staff capacity in hospitals, and why were the anti-covid Nightingale hospitals not used for the pandemic to prevent the virus from spreading to the district generals?

Sajid Javid, Secretary of State for the Department of Health and Social Care:

The NHS and social care has £5.4 billion of extra funding over the second half of this financial year. A lot of that funding is being deployed to create extra capacity, especially with work on discharges between the NHS and the social care sector, because people can be clinically ready to be discharged, but the care packages have not always been easily available.




Star Chamber

I was pleased to see the PM and Chancellor have decided to set up a committee to seek better value for money from  departments. That used to be the main task of the Chief Secretary to the Treasury. Star Chamber was a committee to adjudicate the following year’s  annual budget where the Treasury and spending  department disagreed about the totals. It would  be chaired by a nominated senior Cabinet Minister, with a right of appeal to the PM . It  was not usually a good idea to exercise  that right for a spending Minister and was very rare. The new Committee would be wise to empower the Chief Secretary to push back more on wasteful or ineffectual spending.

They should start with the massive NHS budget. They need to pin down how much of the one off spending of the last 20 months on Test and Trace, vaccinations and responses to the pandemic can be ended, and to see how much of the spending in the NHS budget to undertake non covid work was in practice vired to pandemic related spending. They should want to see a proper costed programme for reducing waiting lists, backed by a proper manpower and recruitment budget. They should require clarity over how much extra social care is going to get, now that it is to share part of a nominated tax for part of its budget. The decision to hypothecate some National Insurance was a bad one, and will give  misleading views of how much these two expensive services actually cost. they should ask why NHS management has  kept the NHS so short of beds but long of management and management consultancy

They should review the progress with the administrative reorganisation. They should ensure no senior manager gaining a job in  the new structure receives a redundancy or other payment for their past service in the old structure. They should seek to retain and reappoint all the good people from the old structure without recruitment fees. They should economise on new logos, use up old administrative supplies and only allow property changes where that will result in savings. These are all points I have made about the impending reorganisation.




Tax rises and tax cuts

Someone briefed the press that the Chancellor has asked officials to give him options to cut taxes in 2023 and 2024. He wishes to be seen as a tax cutting Finance Minister. Why does he need officials to tell him? Surely an intelligent  Conservative Chancellor should have his own tax cutting priorities?

Why plant such a story. He is clearly defined as a tax raising Chancellor on a large scale.. He has broken the Conservative Manifesto pledge not to increase National Insurance by a damaging and needless rise from next April. The  options mentioned in the press do not include getting that back down again.

He has announced substantial hikes in Corporation tax rates which  will probably mean collecting less revenue than keeping rates low. Treasury  models of future CT revenue  have been regularly wrong, underestimating the boost from lower rates. He should set our rate at the  new world minimum rate he wrongly signed us up to.

He has frozen Income tax allowances in order to drag many more people into higher rate tax over the  next couple of years. This penalises people for getting promoted, gaining new qualifications and working hard. It is an anti levelling up policy. This is not a formal break of the Income Tax promise but it is certainly not keeping rates down for people getting a rise at certain income levels.

If the Chancellor really wants to be a low tax Chancellor he needs to reverse the  tax rises he plans before they bite next year. He can use the excuse that in the first half of this year the deficit came in £50 bn below the idiotic OBR forecast, giving him more  scope than he needs for my proposal. He can also argue  that as the economy slows from here he needs to give it a boost to continue a decent recovery. Everything points to the need for him to act as they brief, to become the tax cutting Chancellor.




The U.K. government aims to make us more dependent on imports

Why can’t government Ministers in key departments see that their idea of decarbonisation  will not cut world CO 2 output but will export jobs and business from us to overseas?

This week  was a double win for the import boosting strategy. Shell announced it does not want to go ahead with a major new oil field off Scotland. This will mean importing  more energy, and making fewer things here that need plenty of energy so importing them as well.

The Business Department is the main driver of shutting down our oil, gas and high energy using businesses. Its wish to price fossil fuel energy out of the market means we struggle to keep steel, ceramics, glass, aluminium and other high energy manufacturing.

Over at Agriculture the Minister seems to regard growing food or rearing animals as bad for the environment. He wants to wild farms and grow wild flowers instead. Presumably  the idea is we should import more of our food.

Let’s have more policies to make and grow things at home which could produce more well paid and worthwhile jobs. The energy shortage this autumn should be a warning that you cannot rely on imports. It is a bad idea to import most things that need fossil fuels whilst stopping us making them at home with less fuel used in transport.




The U.K. government aims to make us more dependent on imports

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John Redwood won a free place at Kent College, Canterbury, and graduated from Magdalen College Oxford. He is a Distinguished fellow of All Souls, Oxford.