Planning for winter

It is difficult to fathom why the Treasury would want to base a budget on out of date forecasts or on forecasts they expect to be wrong, yet that is what the press allege. They tell us there is an earlier pre budget cut off date for the forecasts than usual, and that the Treasury accepts the deficit and debt forecasts which have already proved wildly pessimistic this year to date as they did last year. Surely the Treasury should push back hard on the OBR estimates and say they will only treat them seriously if they improve markedly.

It may be that the aim is to follow a tax rise and spending cut policy to slow the economy more to get closer to the poor forecasts. That could work, but why do it when you could have a policy that got you better outcomes on growth and on the deficit.It is clear the tax rises already announced and the Bank of England rate rise threats have slowed the economy badly in recent weeks, alongside the media driven petrol scare and the Lack of wind power.

It appears that there some gas turbine power stations that have been closed that could be brought back into use quite quickly and cheaply. The Business Department should commission them for stand by and back up power for when renewables fail.

The supply issues over petrol and diesel are resolved. The shortages were caused by panic top ups, not an underlying shortage of fuel. The HGV driver shortage will take a bit longer to clear, but training and recruitment numbers are rising. The on line delivery networks have shown the right offers can secure a big expansion of capacity.

The Budget needs to go for growth. An austerity budget now would be a bad idea. Injecting some good control over spending to secure more value for money is also crucial. The Treasury needs to slim Test and Trace and redirect some of the additional £64 bn awarded to the NHS in the last two years to tackling waiting lists and non covid treatments.




Money printing

The Treasury and Bank are still worried that the UK has borrowed too much. They want to slow everything down by forcing through tax rises. They want the Chancellor to follow austerity policies based on setting difficult targets to get the debt down. It’s the same playbook as after the Banking crash, and the same playbook as the EU debt controls, needed if you share a currency with others to stop free riders.

Let me have another go at explaining why we should not  be so worried about UK state debt. The UK state has bought up £875bn of it, so that is no longer a debt. The Treasury pays the Bank interest on it, it is true, but the Bank sends the interest back as a dividend because the Treasury on behalf of taxpayers owns the Bank. I would not regard myself in debt if I owed money to myself.

Normally I would be against a state buying up its own debt by creating money out of thin air to do so.The extraordinary conditions of lockdown when government prevented a large amount of activity meant it was possible to offset some of the damage by creating money. It would normally be very inflationary, and would lead in due course to hyperinflation if persisted with. We have seen Zimbabwe, Venezuela and Argentina do that in recent years, and pre war Germany famously did it. It is a very destructive process, leading to poverty and economic breakdown, forcing people onto barter or foreign currencies to retain some value in their money and labour. I do not recommend the UK  doing any more money creation from here.

The truth the Bank and Treasury need to grasp is they largely got away with mass creation of pounds and buying in of debt. The inflationary consequences are not going to be too great if they stop doing any more now.  The collapse of demand in the economy thanks to lockdown needed an offset which they provided. They did not do as much proportionately as the USA. They are right not to try to do anything like the huge amount Japan has done and got away with over the last couple of decades. Japan has an ageing and declining  population with a high wish to save, so its money creation has not generated any inflation, contrary to usual form. Japan’s state debt is around 250% of GDP now, but the state owns half of it and the other half is financed at around zero interest so it is not a problem.

If the Treasury persist in slowing the economy with tax rises they will end up with a bigger deficit. They need to help energise the rest of the government to promote more UK based activity. The deficits they should worry about more are the balance of payments and trade deficits. Those need us to borrow in foreign currencies we cannot print, or to sell more and more of our companies to foreigners to pay the bills.There will be a bit more inflation in the year ahead thanks to world supply bottlenecks and the labour shortages.




Sir David Amess

David was a long-standing friend and colleague. His senseless murder leaves his family devastated, his friends bereft and his constituents without a dedicated MP. He went to great lengths to help his constituents and to represent his area. He was always kind, hard working and willing to engage with people of wide ranging views. He was a great campaigner and a helpful mentor to new MPs.

His tragic death will not stop MPs talking directly to people or being active in their constituencies. There have been too many murders of MPs during recent decades, when MPs strive to ensure the nation’s disagreements and passions are settled through votes and arguments, not violence.




Update on Access to GP Services

I have received the enclosed update from the Government:

Dear John

I am writing to you following publication of Our plan for improving access for patients and supporting general practice.

First and foremost, I’d like to thank our GPs for the outstanding work they’ve done during the most difficult 18 months in living memory. Throughout the pandemic, General Practice was forced to adapt in order to continue delivering care to our communities, keep vital services going and put millions of jabs in arms.

As we emerge from the pandemic it is vital that we continue to support General Practice teams to provide the best possible care to patients. I’m determined to ensure that patients are able to see their GP in the way they want, no matter where they live. The plan we have announced today is a statement of recovery and reform, not just for this winter but for the years to come.

We are investing £250m in a Winter Access Fund to improve the availability of GP practices and increase the number of face-to-face appointments, while also investing in technology to make it easier for patients to see or speak to their GP. Although the latest data shows that there are 1,200 more full time equivalent GPs serving our communities than there were two years ago, we will not be complacent when it comes to our recruitment efforts.

Last year a record-breaking number of doctors started training as GPs, and we’re committed to further increasing the number of training places to 4,000 a year. We will draw on our fantastic community pharmacists and their teams through greater use of the NHS Community Pharmacist Consultation Service, allowing them to use their expertise to advise and treat more patients, freeing up more of GPs valuable time to look after patients.

The UK Health Security Agency has carried out a review of Covid control measures for GPs and primary care providers, and has published recommendations which will further enable face to face consultations, where it is safe to do so.

We’re making practices more accountable to the communities they serve by automatically sending patients a message following their appointment to give them the opportunity to rate their experiences of accessing support. GP appointment data will also be published at a practice level by spring next year, with the NHS increasing its oversight of practices with the most acute access issues.

We know how challenging the past 18 months have been for GPs and their teams, including the disgraceful incidences of staff facing abuse and violence while trying to do their jobs.

This Government has zero tolerance for this utterly unacceptable behaviour. To support practices we are providing £5m of capital funding for them to invest in extra security measures.

Our plan recognises that General Practice is the cornerstone of our NHS, and demonstrates this Government’s commitment to helping staff deliver for patients. The full plan can be found here: Coronavirus » Our plan for improving access for patients and supporting general practice (england.nhs.uk)

Yours ever,

SAJID JAVID
Secretary of State for Health and Social Care




Ingredients of an industrial strategy

If we want to rebuild industry that we have lost and attract modern industry to make the new materials and products the world is discovering there are some basics government needs to do.

It needs to ensure good transport and communications in industrial locations. As monopoly provider of roads and railway lines it needs to ensure sufficient accessible capacity. It needs to allow or encourage high quality high capacity broadband.

It needs to continue to strive for excellence in school and College education. It needs to work with schools and Colleges over how they help people gain qualifications and interests that can lead on to well paid jobs in industry.

It should pump prime good ideas for new technologies, working with Universities and company labs. It should provide a market for innovations, buying them for use in the public sector. New drugs are a good example, bought into the NHS, or new vehicles bought into the MOD.

It needs to use its planning and licence granting powers well so industry can establish and expand in suitable places and can tap local sources of raw material and energy as appropriate.

It needs to avoid rushing to nationalise. There has been a long history of nationalised industries in the UK under  governments of all persuasions sacking employees, overcharging customers and losing large sums for taxpayers to reimburse.

It needs to avoid imposing unduly complex controls and interventions, which invariably lead to worse outcomes and demands for yet more offsetting interventions.