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.

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.

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.

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.

A Minister is appointed to office. He or she has to work out how to exercise the powers available in  that position. Some fail to do so, just signing the documents and attending the meetings their officials place before them. It takes energy, persistence and understanding for a Minister to impose a new agenda, change things or improve the ways government works.

In a democracy Ministers are rightly circumscribed to prevent potential power going to their ahead and to avoid abuses. There are three main controls on Ministerial actions. Firstly, they must not break UK law. Secondly they have to stick by collective responsibility, requiring other Ministers  support within a department or the wider government to pursue the path they wish. Thirdly, everything they do is subject to the court of public opinion. If they and their policies become too unpopular they may be changed.

Ministers  nonetheless can exercise considerable power for the good. They have powers by virtue of collective control of the massive public sector purse, calling up resources and investments nationally. They have stated powers in extensive Statutes requiring or enabling Ministers to do things, regulate things and supervise the public sector. They appoint a large number of people to run vast areas of the public services.

All too often Ministers who lack clarity and understanding about what would be a good direction for the department they are in are buffeted by events and dependent on inconsistent or unreliable civil service advice. From day one the new Minister is held responsible for everything that goes wrong in their department or section of a department, though often the first they knew of the problem was when it was reported to them as a problem. It is often not the result of their actions and may be a case of officials not carrying out the general aim of their stated policy or even worse breaking the clearly stated intention of a Minister. There are also, of course, occasions where Ministers make poor choices or announce things that are  not going to work, where they are rightly held to blame.

This government needs to review where it wishes to exercise powers and where it wants to make a difference. With a majority of 80 it can change the law where it thinks the law impedes progress. It needs to move on from policy dominated by responding to the pandemic, and being about decarbonisation alone. Levelling up, a faster and stronger recovery and making and growing  more of what we need at home should be priorities that  shape public policy in helpful ways.

If you wish to govern well you need access to good quality information about public services, budgets and outcomes. If you wish to do the job of holding government to account for its actions and inactions you need access to good quality information to come to fair judgements about how well government is performing and what needs improving.

It is currently difficult to get simple factual information from the civil service machine. I and others have not been given good factual answers when we have asked how much extra the NHS will spend, what it will spend it on, what its manpower budget is for the year ahead and how it will bring down the waiting lists. I have also been refused a factual answer to the simple question how many Chief Executives are there in the various structures of NHS England? I have also received no  answer to the question how much the government is  spending  this year on hotel accommodation for illegal migrants pending processing of their cases.

The briefing from NHS England seems to say that in short term the waiting lists will go up as more people engage with the NHS after the intense period of the pandemic and discover they need treatments and procedures. They have declined to tell us how much extra work they can do for the promised extra money, or how much of the one off costs of Covid can now be spared and redirected.

The Treasury as custodian of the budgets should insist on more detailed plans and link these to reporting  outcomes so that taxpayers see they are getting value for the extra cash being committed.

The Department of Health and Social Care has provided the following answer to your written parliamentary question (56363):

Question:
To ask the Secretary of State for Health and Social Care, how much and what proportion of the £36 billion announced by the Government to tackle waiting lists as a result of the covid19 outbreak will be spent on the salaries of additional medical staff. (56363)

Tabled on: 15 October 2021

This question was grouped with the following question(s) for answer:

1. To ask the Secretary of State for Health and Social Care, how many additional nurses and doctors he plans to recruit for his Department’s waiting list initiatives. (56708)
   Tabled on: 15 October 2021

Answer:
Edward Argar:

The Department is working closely with NHS England and NHS Improvement to develop a plan for how that funding will be used, including the recruitment and salaries of additional medical staff.

The answer was submitted on 22 Oct 2021 at 10:44.

Question:
To ask the Secretary of State for the Home Department, what the 2020-21 budget is for housing illegal migrants. (77354)

Tabled on: 18 November 2021

Answer:
Tom Pursglove:

Accommodation costs are commercially confidential; therefore, the Home Office does not publish this information.

The answer was submitted on 24 Nov 2021 at 15:42.

Yesterday the Commons passed the latest pandemic controls, which had been introduced the previous night. As always the Opposition parties all wanted the current controls and recommended more. The Conservative benches were more divided, with a minority questioning the value and wisdom of these further restrictions on our liberties.

We have now seen that a Labour government in Cardiff and an SNP government in Edinburgh have  not been more successful than England at getting case and hospital rates down more and keeping them down by enforcing stricter regulations for longer. The controls are  now going on around the world against air travel from southern Africa where the latest variant was first detected, only to discover that the new mutant has already broken out and is present in countries around the world well beyond southern Africa. Some think this new mutant is likely to spread more rapidly but to be mild. Let us hope it is not a new lethal killer.

I have raised  the issues of whether the NHS has now improved airflows, introduced more UV filters and cut the chances of cross infection. I have also asked about better treatments. During the debate others raised the question of why past forecasts of rising case numbers and deaths have often been inaccurate, how much virus the masks do actually contain and whether these rules will be lifted before Christmas when Parliament is no longer in session.

The NHS senior management needs to make sure the pace and distribution of more vaccinations is fair and achievable and tell us more about treatments and infection control.