John Redwood's Diary
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The veto was a veto

Yesterday the 25 countries signed up to the fiscal pact Treaty. The Uk did not sign it. That sounds like a veto to me.

The veto had three good consequences. The first is this is now an intergovernmental Treaty, not an EU Treaty. They wanted an EU one and Mr Cameron exercised the veto. Their legal grounds for using the EU institutions are as a result insecure or non existent. The UK intends to push the legal issues further, as it has to do.

The second is it has helped force a referendum on this Treaty in Ireland, where the decision to hold one cited the fact that this is now a different legal arrangement from the EU treaties as one of the factors swaying them in favour of a referendum. This delays this Treaty coming into force. The delay gives time for France or others to demand a renegotiation or scrapping of the Treaty.

The third is it has started what will be a long process of the UK setting out an alternative course for the EU and for the UK’s relationship with it. Twelve countries agreed with the UK that the EU needed to deregulate to help growth and jobs, but were ignored by the Franco-German-Commission axis this time. It starts to build support for a different approach. Mr Cameron was right to explain in public that this latest summit has not done enough to promote growth, and has chosen the wrong policy mix for the situation.

Even Euro friendly commentators agree that the intergovernmental Treaty is unlikely to do much for the Eurozone. It is widely seen as a fig leaf for German public opinion. It is not widely wanted or liked by other weaker members of the Eurozone, and it is difficult to see how it delivers the desired goal of lower budget deficits, more cuts and higher taxes all at the same time.

None of this will cheer people who simply want to pull out tomorrow. As I constantly remind them, some people have wanted that for the last thirty years, but it has never happened. The pace of change is slow, but at least this time we are travelling in a better direction. It would have been wrong to have signed this Treaty. It would have been wrong not to seek a better set of freer market policies to try to stimulate growth and jobs. The UK has sought to explain that this latest Treaty is not the answer to Europe’s economic troubles. She now needs to press on with defining a new relationship with the EU that avoids more damage to us from the greater austerity zone they are creating.

I ask Mr Cameron’s strong critics what should he have done about this Treaty? Surely you agree it was better to refuse to sign it? Surely it was right to table alternative approaches for progress? Mr Cameron told you before the General Election he wanted powers back but did not want to pull out, so he has not cheated you. He voted with the whole Conservative party for a referendum on Lisbon prior to its ratification, as promised. He did not promise an In/Out referendum in the Manifesto as many of you wanted. His coalition partners want a lot more Europe, which stands in the way of the progress moderate Eurosceptics want, let alone what strong Eurosceptics want.

Entrepreneurs still on strike

          Mr Brown left the Coalition government a nasty posion pill. He put Income tax (and NI) up to 52% on top rate payers, and he raised National Insurance, the tax on jobs.  The incoming goverment moved a little to take some of the sting out of the NI, but left the high top rate  of Income Tax in place. They then added to the problem by raising Mr Brown’s very competitive 18% rate of Capital Gains Tax to 28%.

           Throughout the Labour years they left the top rate of Income Tax at 40%. They cut the rate of Capital Gains Tax. This made the UK an attractive place for investment and enterprise relative to the continent, and gave people a reasonable chance of competing against the lower tax jurisdictions of Asia and the Americas.

          I agree with the aim of the main political parties to get more tax revenue from the rich to bring down the deficit. The question is how do you best achieve this?  The latest Income Tax receipts show these are now falling. The top one per cent of IncomeTax payers pay 30% of the total Income Tax collected. This is a steeply progressive tax system.  Some of them are relocating elsewhere. Some are taking their new ventures offshore. Some are sitting on their hands, unwilling to work harder and undertake a new venture given the tax levels that would hit any success.  There are still entreprenuers on strike, and entreprenuers who no longer like the UK tax and regulatory regime.

          Both Labour and the Coalition government have followed policies of dearer energy, with green taxes and subsidies pushing up the cost of energy. The current Treasury now seems to see the dangers of dear energy. It squeezes incomes , hitting demand. It raises industrial costs, and sends a strong message to anyone thinking of setting up an energy intensive business to do it elsewhere.

               Mr Osborne’s political antennae tell him cutting tax rates  on enterprising people is against the spirit of the times. His economic antennae should also waggle and tell him the way to tax the rich more is to make it more worthwhile for them to stay here and invest here. The UK is simply no longer competitive on tax. That was Mr Brown’s idea, his farewell present, his poison pill. 40% and 18% were good rates for Labour in power. In irresponsible opposition they will go the way of socialists not in government and send out a message that all we need to do is to soak the rich, even at the expense of less revenue from them . The priority today should be more jobs and more activity.

Falling Income Tax revenues:  January 2011 Total Income Tax receipts £22 billion, of which £10.9 bn was self assessment

January 2012 Total Income Tax receipts £21.8 billion, of which self assessment £10.3 billion.

 

 

Loads of money

 

  Yesterday the European Central Bank grabbed the headlines by lending Euro 529,000,000,000 to 800 European commercial banks for three years.  This was a top up to the Euro 489,000,000,000 they had lent for three years one month last December for 1% per annum to 523 banks. That makes a tidy One Trillion Euros of 3 year lending, all repayable January-February 2015.

      That was not the only money they lent yesterday, They also lent Euro 134 billion overnight at 1%, Euro 29 billion for 7 days at 0.26%,  and Euro 6.5 billion for 3 months.  Commercial banks also borrowed from the ECB  $3.5 billion of 7 day money and $14.5 billion of 84 day money. The European Central Bank’s website also declares a stock of Euro 65 billion of purchased covered bonds at the same date.

          What does this tell us? It confirms that the normal  interbank market in Europe is still well and truly frozen. Banks are unable to borrow the sums they need from each other. It also tells us the banks see profitable opportunities to make some money on the back of very cheap three year loans. Even allowing for low official interest rates, and low returns on German government bonds, there is still a turn to be made barring capital losses.

            This liquidity is helping drive down the costs of Spanish and Italian official borrowing, as they hoped it would. It has not had the same benign impact on Greece or Portugal. It does nothing directly to curb the large deficits, grow the economies or solve the tax problem in the most damaged  southern states. It does buy them time, it does keep the interest charges down in the countries where some of the cash is used to drive government bond prices up and interest rates down as a result.  The commercial banks could even consider lending more to the private sector for suitable projects, which could give the economies affected a modest boost.

                 The question is what do they use the time for that they are buying with this large injection of liquidity? They need to be repairing and sorting out the banks, so they can set up a working interbank market again. They need to be developing growth policies which work. The danger of the current system is that it means weak banks are propping up weak countries which are propping up weak banks. The Central Bank has taken various items as collateral for its loans. They need to mend the underlying economies to make sure the Central Bank can get its money back on time, and to ensure the collateral it has taken has full value.

               If they do not restore health to bank and state finances, and growth to economies, this becomes a fanciful money go round which will go wrong.

The Health Bill- the government’s case ( as requested)

1.     It shifts power to GPs so they can get the best health care for their patients

The Bill abolishes two layers of administrators (PCTs and SHAs) and the money they now spend on health care will go directly to groups of GPs. GPs will decide how to spend that money working with other health professionals like nurses in what are called Clinical Commissioning Groups.

2.     GPs will be able to get health care from the NHS and other organisations. They must get the best treatments, not the cheapest and the Bill encourages GPs to give patients more choice

So, if you have a stiff shoulder you could go to an NHS hospital for physiotherapy or to your more local group of self employed physiotherapists. Your GPs can give you a choice between the two – or even more choice of where to go to fix your shoulder.

In Eastbourne some nurses left the NHS to set up a specialist wound healing clinic. It has a fantastic record of healing people who have suffered from serious problems like leg ulcers for years. GPs will be able to get treatments like this from other not-for-profit organisations, charities and organisations offering health care.

In Broxtowe people in need of help to control pain used to travel to specialist clinics at hospitals in Nottingham. Now their GPs have set up their own award-winning  local service – so no more trips to hospital as the service is now nearer to home.

3.     It  joins things up at a local level

Based on shire or unitary authorities one body called the “Health and Wellbeing Board” will bring together local health and social care services and public health. This Board will be a mix of doctors, other health workers, councillors and patients – all coming together to make sure there is a joined up way of keeping people healthy and making people better.

4.     It stops the current system that favours the private sector

The last Government discriminated in favour of private health companies doing work like knee operations. The Bill puts the NHS, not-for-profit organisations, charities and health companies on the same footing.

5.     For the first time there is a statutory duty on the NHS to reduce health inequalities

In 2005 the British Medical Journal commented. “The difference between the life expectancy of the richest and poorest in our country is now greater than at any time since Queen Victoria’s reign’ and under Labour the gap grew. The Bill makes it law that the NHS must work together to make sure people everywhere get the same great level of health care.

Today we will debate the Treaty on Stability, co-ordination and Governance

 

               Yesterday William Cash MP asked the Speaker to grant an urgent debate on the draft inter governmental Treaty which Mr Cameron declined to sign for the UK last December. The Speaker heard his case. Many of us were in the Chamber signifying our suport for an early debate. The Speaker granted Mr Cash’s requests on its merits. The government declined to oppose the suggestion, so tomorrow we will have our three hour debate.

                 I was pleased he did so. Mr Cameron is soon off to another summit of EU leaders. It is important that he presses UK concerns. Whilst it is great news that we will not sign this Treaty, it is important that the 25 signatories do not seek to use EU institutions to enforce their proposed Treaty in any way that inflicts loss or duties on the UK.  The UK is raising legal questions about how such a Treaty of the 25 would work, given that the 27 are the custodians of the EU institutions and of the EU Treaties. Can they use the EU institutions at all, when two members of the EU have declined to accept this draft Treaty?

                   The debate needs to go wider than these important legal and constitutional issues. The truth is the Treaty of the 25 is in trouble. The French socialist candidate for the Presidency has said he wishes to renegotiate the Treaty. The re are rumours that incumbent President will offer a referendum on it. The Irish have now said they would need a referendum. Instead of this Treaty being a quick fix for the Euro, a rapid dash to stronger controls over Euro member budgets, it is in danger of becoming a long running constitutional saga which could help to unmake governments and thrust more antagonism between governments and their electors.

                    The draft Treaty, even with an easy passage, was never going to resolve the Greek crisis, for example. It is all well and good the EU or a group within the EU telling Greece to spend less and tax more, but they have been saying this for years and it has not happened. Saying it under some new powers in a new Treaty, and threatening to fine Greece if she does not comply, is bizarre. As Greece has run out of money and has to borrow so much from other Euro states and the IMF, she would have to borrow the money from them to pay the fine. How would that help?

                     Much of the ground in the draft Treaty is reminiscent of   the old Growth and Stability  Pact all Euro members were meant to follow. It is similar, but Germany claims there are new enforcement procedures and sharper focus to the fiscal union in the draft Treaty than in the existing Treaties for Euro members. It looks as if Germany’s insistence on greater clarification and enforcement of fiscal union rules will create more dislocation in the churning politics of Euroland. Meanwhile Greece has promised to have an economy growing every year from next year to 2020. If it does manage to do so, it will once again fail to hit the deficit reduction targets that it has promised to meet before.

                    The EU awaits nervously as private holders of Greek bonds make up their minds whether to accept the new much reduced terms for their bonds. They wait nervously to see if Greece can at last find policies which simultaneously cut spending, increase taxes and promote growth. They watch to see if the contagion might spread to Portugal. And now with baited breath they contemplate what the voters might make of their latest fiscal union ideas, given that it looks as if somewhere in the union a referendum will be held on it if the Treaty survives to ratification.

Reply from Rt Hon Grant Shapps MP on Portas Review

Dear John

Thank you for taking the time to send in your comments as well as opening up the debate with your constituents and others through your online diary.  Your thoughts, and those of the respondents to your website, are very welcome as we take forward the government’s response to the Portas Review.  Indeed, many of the recommendations you offer, as well as those submitted by respondents to your website, are covered in Mary Portas’ Review, particularly around regulation, access and parking, and the creation of ‘Town Teams’.

With regards to regulation, we have already carried out a retail themed Red Tape Challenge, and we will work with local authorities to address their own regulatory functions.  We are very keen to identify and remove any unnecessary regulations impacting on the high street.

As far as access and parking is concerned, Mary Portas suggests the lack of free parking puts high streets at a disadvantage to out of town shopping centres, and that more should be done to make shopping in the high street easier.  Although this is an issue for each local authority, we would urge councils to look closely at their parking provision and charges and to consider the different options that are available, and think about new schemes to ensure they are working to do the best for their area and bring vitality and success to their high street.

Last year, we removed a number of barriers to tackle parking rules, including the policy that encouraged councils to set car parking charges to discourage the use of cars.  The draft National Planning Policy Framework follows through on these changes by removing the restrictions which impose maximum numbers of parking spaces in new non-residential developments.  This in turn will relieve pressure on on-street parking and support local high streets.

We have also made a number of proposals to help businesses.  We have listened to concerns about the Retail Price Index (RPI) increase for 2012-13 business rates bills, and are therefore giving businesses the option of spreading the increase over three years.  This will give businesses flexibility to manage their rates bills in the current economic climate, help their cash flow, and give them time to adjust to the impact of inflation.

Additionally, we have also doubled small business rate relief for two and a half years, which will include the whole of the 2012-13 financial year.  Over half a million businesses in England are expected to benefit, with approximately a third of a million businesses paying no rates.  We are ensuring that all eligible ratepayers automatically receive the small business multiplier, and we are removing the legal red tape requiring ratepayers to fill in paperwork to claim the relief.

In addition, government is giving local councils new powers to levy local business rate discounts, for example, to support local shops, community pubs, new business parks or vital local facilities, via the Localism Act.  The new power will be available from April this year.

With respect to rent levels, I agree with your opinion that this is a matter which the market should largely resolve and it is an area where government intervention should be measured.  Tenants who are in leases with upward only rent review clauses will indeed find that their rent does not move downwards in accordance with market values;  however, research suggests that the average lease length is now around 5 years and as such the majority of new leases do not feature rent reviews; this makes upward only rent reviews far less common that they once were.  We are working to make sure that progressive, fair and flexible leasing terms continue to form the basis of standard leasing practices across the sector.  As per Mary’s recommendations, we, in conjunction with BIS, are supporting and promoting the 2007 Code for Leasing Business Premises which sets out advice for prospective tenants and landlords aimed at ensuring tenants secure the best leasing terms possible, including considering alternatives to the upward only rent review clause.  We have challenged key industry players (RICS, the British Property Federation and the Law Society) to consider how they too can do more to raise the profile of this valuable tool.

Mary Portas recommends that Town Teams should be considered.  She clearly set out in her report how key to the success of high streets visionary, strategic and strong management can be.  We will look at ways in which the Government can support and encourage town centre management, and we would expect town teams to work with local partners to develop a joint vision for their local high street.

I recently announced a competition to choose twelve towns and cities across England to create Town Teams, with successful bidders benefiting from a share of £1 million to turn around their local high streets.  Those bidding will need to demonstrate a real transformational vision on how they can breathe new life into their high street or shopping parade and should have the strong support of their local community and a range of local partners.  Further information and the prospectus can be found at: www.communities.gov.uk/publications/regeneration/portaspilotsprospectus/ .

The Government intends to respond formally to the Portas Review in the Spring.

Yours ever

Grant Shapps MP

Mind your grammar

 

Many of us dislike the apartheid in UK education. If you are blessed with parents on good incomes, or with parents willing to make a large financial sacrifice, you have access to some of the best schools in the world, the top public schools. If you do not, you face a postcode lottery for how good your local state school will be. You may end up at a poor performing school, where ambition for pupils is low, and where there is no tradition of pupils successfully striving for excellence.

Of course there are weak or poor fee paying schools, and there are some excellent state comprehensive schools. It is not as simple a division as some class warriors would have us believe. Nor is it fair to suggest that all rich parents are great parents. They may not spare the time or offer the love and suppport children need, in addition to the money for the fees. Meanwhile socialists wrongly assume that all poor backgrounds mean disadvantage, when low income parents often do provide time, support, a framework of encouragement for their children which is so important. Allied to a good local state school, this can work well.

As we saw yesterday, the politicians have lighted on a definite social problem. Pupils from the great public schools do get a very  high a proportion of the places available at top universities, implying there is some problem with the state schools on average  in helping pupils pursue such ambitions.

The grammar schools fare better than the comprehensives. In one sense that is only to be expected, as they choose pupils most likely to qualify for elite universities. Grammars should produce a higher proportion of suitable candidates for top colleges. In another sense it is worrying. Comprehensives do not fare as well as grammars, when adjusted for the impact of selection. The Comprehensives in most parts of the country include the group who would otherwise have gone to grammars. Many comprehensives do not seem to provide the same back up to these able pupils as the grammars once did.

The left say that selection is wrong in principle. I find this difficult to understand. They seem to welcome academic selection at 18, accepting that only some should go on to university. They welcome selection based on ability and tests  for sports academies, for music schools, for elite dance and arts establishments. They do not want to have quotas of disadvantaged footballers placed in every elite Premier league team, nor do they complain if young people have to jump through hoops of fire to compete in the Olympics. Their approach to selection is highly selective. More importantly they lived through 13 years of government with school selection at 11 or 13 based on parental income, as if this were in some way more just or acceptable than selection based on ability and work rate.

The Coalition government rightly says one of its prime tasks is to raise school standards. The Secretary of State is pulling various levers in his part of the government machine to try to get standards higher. Allowing selection by ability and work rate at 11 or 13 in the state sector would create many more opportunities for children without rich parents to get to a top university at 18. The UK’s best policy for social mobility, the grammar school, was largely ripped out.

           The advocates of comprehensive education for all but the rich promised us more social mobility and better results. The truth is it has not happened. Could advocates of comprehensives explain why not? And could they refrain from just saying comprehensives do not get enough money per pupil, when they often get more per pupil than grammars. We have just lived through a generous era for public spending. Labour voted as much as it dared. Why did it not work?

 

How many support the Health Bill?

 

           I was surprised yesterday to wake to the news that 38 Conservative MPs led by Dan Poulter had signed a short letter to the Sunday Telegraph declaring that they suported the Health Bill. The spin said these were loyalist MPs who wanted to show their support for the Prime Minister’s Health reforms.

             I was surprised because at last count around 300 Conservative MPs supported the Health Bill. I had not heard rumours of large groups of disloyal MPs seeking to change the Bill radically or get it droppped. There have been no angry meetings about this, no letters signed by 100 potential rebels, no attempt to table unhelpful backbench motions through the backbench business committee, no pre-emptive summons of Health Ministers to the 1922 Committee to explain themselves.  This is no referendum on the EU or powers back from Brussels issue within the Conservative party, where all of these things have been happening, including from some of the same people who signed this letter.

         I was surprised because many MPs  had not been shown  the letter or invited  to sign it, so clearly there was no wish to maximise the numbers of signatures. As a result a letter went out with just 38 names on it, running the risk of implying there are almost a couple of hundred   Conservative backbench MPs who would not sign it, when I guess most had not been asked. Let me reassure you all further, those who like the reforms or are relaxed about them. As far as I know Conservative MPs will continue to vote for this legislation if asked to so so. If you are against the Bill , you will be relying on Labour and Lib Dem votes in  the Lords to force the changes.

            The letter makes the fair general point that the aim of the Health Bill reforms is to improve the quality of patient care, partly by offering more control over that care to medical practitioners within the service. The aim presumably was the worthy one to try to get across the high level messages about this reform – that quality and choice are the drivers of the reforms with  the aim of better patient care. One of the means of doing this is cutting bureaucracy and leaving more direct control to medics. Unfortunately the absence of any praise for Mr Lansley in the text left the media with the story that the loyal MPs were loyal to the PM but not to the Health Secretary, which  no-one seemed to move  rapidly to deny. The original White Paper in 2010 was co signed by Mr Cameron, Mr Clegg and Mr Lansley. All three were completely united in recommending their chosen course of action to the public.

          What is my view? I favour more choice and more patient power in the NHS. I am happy about effective cuts in overall bureaucracy, as long as the replacement offers better management for less cost. I did not advocate the Bill, but will  support  the government  if they tell me that is the best way of bringing about these general aims. I was asked at the beginning of the government what I thought about proceeding with it. I suggested it would prove difficult as I expected the Lib Dems enthusiaism for it to wane if it ran into criticism.  They do need to be careful lest the Bill becomes a very expensive complex measure, with all sorts of new duties and functions for the NHS built into it to seek agreement to it in the Lords. They need to concentrate on achieving that better quality care with more choice that is at the heart of the original proposals.

         I would be interested to hear your views on this Bill, and on the government’s approach to it. I have delayed the schools piece until tomorrow, as this is topical today.

Offtoff (or OFFA)- an offer we can refuse?

 

The Office for fair access to Higher Education (OFFA) has a new Director.  The appointment of Professor Les Ebdon of Bedforshire University to this post has caused a strong argument in Parliament. Its details  reveal much about the state of current UK political thinking.

The Office  for fair access is the product of Labour thinking in the early 2000s. They set up the quango  to deal with the scandal that far more pupils from independent schools get places at the top universities compared to  comprehensive schools, when allowing for the numbers of potential applicants in each case. Labour were clear that they needed to cajole, persuade or lean on the top universities to take more pupils from state schools. Their policy implied that the fault lay with the universities in ignoring obvious talent. The underlying instinct  was that  these universities are ignoring   well educated young people from state schools out of prejudice or through their traditional networks encouraging laziness in recruitment.  Many  Lib Dems seem to be in sympathy with this thinking.

It fell to Dr Cable to recuit a new boss of Labour’s organisation. When his choice,  Les Ebdon,  was called before the Select Committee for a confirmation hearing, he worried the Committee. He seemed to say that he would use the powers of his office to require larger proportions of state pupils at top universities, by naming, shaming and removing grants if they did not comply. Some Committee members felt he wished to override the fundamental principle that the universities themselves have to make their own decisions about who is suitable to have  a place, and who is  well enough equipped to make good use of one. They recommended that the government did not confirm the appointment. Dr Cable disagrees with the Committee.

The row is an intense one. All three main political parties are agreed that they want a world in which  more young people from comprehensive schools  go to top universities. Labour and Lib Dems think it needs a Les Ebdon to push the universities. Many Conservatives thinks the fault lies in the state comprehensive schools. The people at top universities I know are as keen on social mobility as the political parties. Many will choose a state school pupil over an independent school pupil if all else is equal. Some will go further and allow for worse teaching, poorer background and the like in their assessment. These universities have programmes to encourage state pupils to apply. They organise sessions for pupils and teachers to learn more of their requirements. They signal very clearly that they want high grade high quality A levels in difficult subjects as a basic requirement. We need to ask why the creators of comprehensive education, who have boosted spending on it by so much in recent years, still think universities need to make allowances for a state education as if it were an impediment to progress.

Dr Cable’s  insistence on Les Ebdon has radicalised more Conservative MPs on this subject. Now many would like the whole Office abolished. They just do not think there is a quick and fair fix by pressurising top universities into taking people they would not choose for academic reasons. On this issue the Conservative party is no defender of privilege, no reactionary group wanting Eton to win in the university place stakes through having superior connections and money. There is just a strong feeling that years of comprehensive education has not achieved the breakthrough in standards and spread the love of learning as  planned, especially in the more deprived areas. There is a fear that ripping out so many grammar schools has cut social mobility, not improved it. Most Conseravtives want to fix the state schools, not penalise the good universities.We will review this question tomorrow.

There are doctors in the House

 

Before the last election Mr Cameron put out a plea for new people to join the Conseravtives as potential MP candidates.  He said we need a new influx of professional talent to help us with our deliberations on future policy, and in managing the public sector. He had in mind highly trained and well educated individuals like doctors working in the NHS.

A couple of doctors stepped up to the plate, and persuaded selectors to choose them as candidates. Sarah Wollaston and Philip Lee duly were elected. They have been keen to offer their advice to the government as it embarks on its NHS reforms. Surely, they asked, this was the idea of inviting them in to the Parliamentary fold?

On Wednesday in the House it did not seem like that. Dr Philip Lee, after months of trying to persuade the government in private of ways to reform the NHS, broke cover and offered a Ten Minute Rule Bill to Parliament. These bills do not usually stand any chance of making it to the Statute book, as there is not normally any time available to take them through a committee stage. However, the slot is popular as it is in prime time just after Questions. Successful Ten Minute Rule bills attract media and lobby group attention and may come to  influence the government’s own legislation.

Dr Lee feels strongly that people do not understand the costs of their healthcare. He proposed that everyone should receive an annual statement of the healthcare they have received over the past twelve months, with the costs of each service item. The healthcare would remain free, but everyone would then know what they were receiving from the system and would understand the costs involved. The NHS should already have good patient records recording all the treatments and consultations. It also has a lot of information about prices from its purchasing activites. He argues it would cost little for a computer to  collate and transmit this to each patient.  He also favours allowing co payments for treatments that go beyond the limited list of treatments available on the NHS, instead of forcing people who want such treatment into opting out of the NHS altogether and going private. He has a number of views on how the NHS could offer better quality at lower cost.

The government did not look keen on all of this. Labour hated it, and duly voted the proposal down.

Sarah Wollaston too has be driven to private members legislation to try to get her message across. She thinks binge drinking is one of the main causes of poor health in the UK, and is proposing legislative restrictions on alcohol advertising to try to control it. She has also been reported making  criticisms of the government’s NHS reforms.

It’s not easy being a doctor in the House. It appears that Doctors have bigger followings for their medical advice than for their political advice, despite the good intentions of the new professionals scheme. I would be interested to hear what you think about the government taking some medical advice.