The waves of strikes we are seeing punish patients, children, and commuters. Acceding to the inflated pay demands of the unions would punish us all by making our inflation problem worse.
The expensive subsidy creates a domestic training bottleneck, whilst this country’s demand for healthcare workers is met through immigration.
A modest (if growing) list of technocratic interventions will not be enough for the electorate, no matter how good they are in their own terms.
Folding is not an option as long as Rishi Sunak’s commitment to fiscal sanity remains resolute. But will it come at the cost of his pledge to bring down waiting lists?
We are still trying to clear the backlog created by Covid-19; industrial action will mean more delays and more preventable suffering.
Foreign labour is an alternative to ministers facing up to how successive governments have gummed up domestic training and recruitment of medical staff.
I would break this down into three broad and interconnected areas. How do we improve accountability? How do we embrace new technology? And how do we allocate resources more effectively?
Where there is need, front line staff like doctors and nurses are underpaid, relative to what they should receive, and where there isn’t, a whole host of people are well paid.
When I was responsible for the £600 million a year London Development Agency, I was shocked at how much management focus was just on getting money out of the door.
Pay for medical staff is set centrally and restrained whilst boards give administrators generous awards.
It has real democratic authority including with the Lords which might not be so inhibited from voting down new measures which didn’t feature in that manifesto.
Voters aren’t used to a world of rising prices and interest rates, and their hearts and minds are up for grabs.
Javid needs to address public dissatisfaction with GPs without further degrading their professional competence.
The Prime Minister needs the courage to face down the tiny minority who want to rush through the Conversion Therapy Bill.