John Redwood's Diary
Incisive and topical campaigns and commentary on today's issues and tomorrow's problems. Promoted by John Redwood 152 Grosvenor Road SW1V 3JL

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Review the data

I reproduce below my piece from April 11th. I am pleased others now have come to see that bad data and wrong forecasts are a problem for the government’s scientific advisers:

Review the data

The death rate is too high. Every death is a tragedy. We all want to see it going down. The nation mourns those who have lost their lives to this disease.

Soon the government needs to review progress with its object of flattening the curve of the virus spread, to consider how long we need to remain in lock down.

I am glad we are now privy to the figures the government relies on. In the daily briefings we are shown two graphs or “curves”, the trend in hospital deaths from CV 19 and the trend in hospital admissions for the infection.

It is presumably these curves that need to be sufficiently flattened to allow the government to transit to the third phase of its  advisers’ planned handling of the virus crisis.

There are several issues with the Death figures that need getting right. I think it would be good for some administrators and statisticians from government and or from the scientific community advising the government to spend some time ensuring accurate data. This should not involve medical and hospital staff time which is needed to handle the patients.

 There was a change in the basis of their compilation on March 26th, when they shifted from 8 hour to 24 hour reports, moving the numbers up.  Can they smooth the figures to allow for this?

There is the issue of whether the deaths are all recorded on the appropriate day. The day before yesterday we were told the higher number included deaths from earlier days which they thought had not been recorded at the time. Can’t the numbers to be reworked for all but the most recent by reference to the death date on the medical death certificate?

There is the possibility of double counting. If deaths are sometimes recorded promptly  before paperwork is completed, and other times when the paperwork is ready, there needs to be a check that they do not end up recording the same death twice.

The wider ONS figures are also of interest. These are higher as they include deaths not in hospital where CV19 was present. These include  some where  the deaths certified as with CV19  are based on statements  about symptoms with  no tests to confirm the presence of the virus. The figures include cases where  CV 19 is mentioned where other severe conditions mean the patient would probably have died without the virus anyway.

Hospital admission with the virus is an easier series to get right. Presumably all on admission for CV 19 treatment are tested to ensure they have it, to make the correct treatment available. Admission takes place at one stated time and date, so it should be relatively easy to get a clean series of numbers that are accurate. A simple check would be to compare bed numbers and occupancy rates by hospital and to examine any outliers.

This is such an important decision both to control the disease and for the jobs and livelihoods of the many, that the decision takers need the most accurate possible numbers.  (End of original)

I repeat again today these questions

What is a Covid 19 death? What are the numbers for dying of CV 19 and dying with CV 19?

Are the back numbers correctly attributed and compiled?

What is total NHS and private sector bed capacity and what is the current utilisation rate?

What proportion of total beds are currently taken by CV 19 patients?

How are the extra nurses recently recruited and the returners from early retirement being deployed?

The casualties of lock down

Lockdowns are setting us back. Here are some of the areas where we need to advance.

1 More people working for themselves and building small businesses

Lockdowns ban many from working at all, and impair the working of many others. Small businesses are being driven into debt, and entrepreneurs being forced to ask if they can continue. Meanwhile the Treasury threatens them with IR 35 clamp downs. Let’s find ways of getting more back to work with a fairer tax regime.

2 Restoring Town Centres.

A second lock down of non food retail stores accelerates the switch to on line and will lead to the loss of many more shops. High Streets will contract or close down under the pressures. Let’s find ways to re open them.

3. Levelling up the country

More people with professional and administrative jobs on good salaries live in London and the South east. Many are able to work from home and continue on the same salaries. More people with jobs that are at risk or have reduced pay for reduced working live in areas that need to level up. It is easy for people like government advisers and Ministers whose income is guaranteed whatever the circumstances to decide on a lockdown which does not cost them work and income.

4. Running sensible public finances to avoid burdening future generations

Today the government rightly offers substantial subsidy to companies and money to individuals who are banned from working. Tax revenues will be badly damaged again by lock down. We cannot go on like this indefinitely. The way to get the deficit down to more sensible levels is to get us all back to work.

5. Promoting prosperity and growth

I campaigned in the General election on my slogan of Prosperity not austerity, with policies of promoting more opportunity, enterprise and ownership for the many. These aims seemed entirely at one with the Conservative party’s national Manifesto.

We now have an economy badly scarred by the first lock down, with incomes and output well below 2019. We need to get on with the job of rebuilding as soon as possible.

NHS output stays low

I have been asking about the big decline in non CV 19 work in the NHS this year. Like most people I am grateful for the tireless work the CV 19 teams put in to nurse and treat those with CV 19 during the peak period of the pandemic in the spring and subsequently. Some medical and research staff have also made important advances in understanding this nasty disease which is a great contribution for all of us. Now it should be possible to use the extra capacity put in earlier this year for CV 19 and to run the rest of the NHS for the many other conditions that need treating.

The government tells me in answer to Parliamentary Questions that it has “paused ” data collection and assessment of productivity this year owing to the CV 19 problems.

They state “we expect NHS productivity will have fallen considerably in 2020-21 because of increased spending on the Covid 19 response and due to reductions in elective and non elective admissions to prevent further infections in hospitals”. In other words, because they persevered with mixed use hospitals with CV 19 treated alongside other conditions they removed elective non urgent surgery for a period from the hospitals altogether. They saw a reduced number of patients with other more serious and urgent conditions. Fear of infection spreading meant more social distancing and lower workloads for non CV 19.

I was also told that “for July and August,( after the end of lockdown), total completed pathways from referral to treatment were 61% of those for the same period in 2019.” By August the NHS was achieving 71% of previous year levels for first outpatient appointments.

This means we are still short of significant capacity to handle non CV 19 matters. It also indicates that the decision to carry on treating CV 19 in General hospitals rather than creating isolation hospitals comes with a cost in lost activity for other conditions. In many places around the country it is possible to designate a Nightingale or one of the existing General Hospitals as a specialist isolation hospital to free the others to work normally at full capacity. We need the CV19 capacity added through Nightingales, and through acquisition of many more ventilators and intensive care equipment for CV 19 and we need to get back to previous capacity for everything else.

The US election

So once again the mainstream media and the polling companies get an election massively wrong. They are tone deaf to people who vote for so called populist politicians. They despise parties that dare to stand against some of the fashionable and often wrong analyses and policies of the World bodies and elites that presume to know best. This makes it impossible for them to see the appeal of policies geared to freedom, free enterprise, self respect, and healthy scepticism of centralised power in governments and international bodies.

Doubtless they will now claim the fault was all the voters who voted the wrong way. They usually decry them and abuse them, and may say they lied to the pollsters. The fault is all their own, not that of the voters. If they are so clever and so worth their hire, they need to ask the right questions of the right people in their samples and interviews to get the forecast right. What is the point of them if they cannot?

Some of the media are quite incapable of understanding a Trump voter or a Brexit voter, because they start from the belief that it is an unacceptable conduct which only the bad, the ill informed and the stupid could countenance. Remember Hillary Clinton trying to win the Presidency by calling all who were planning to vote for Mr Trump the deplorables? I strongly disagree with the socialist way, but I respect those who vote for it and believe in it and seek to engage in political argument with them, not in trading abuse about their abilities and motives.

The polls said there would be a 10% gap between Mr Trump and Mr Biden. There is a 1.8% one. They said Mr Trump would lose a number of crucial swing states he won. The weight of media opinion was a Biden win was both inevitable and desirable. They endlessly repeated that Mr Biden would unite the USA whilst Mr Trump would divide it. They should look around them. The USA is deeply divided, and Mr Trump and Mr Biden stand for two very different ways forward for their country. It is not an easy task for anyone to unite the USA. Those who want their personal freedoms will always oppose the big government model. Those who want more government control and action to right the wrongs they see around them will never accept the demands of those who simply want their own right to lead their lives without more government demands.

Vote on lock down

The government won its motion to impose an English national lock down from tomorrow by 516 to 38 votes. Labour supported the government. It was mainly Conservatives voting against with some DUP MPs. Clearly there were numerous abstentions or absences on what was a most important vote. I voted against, as the government did not amend the Regulations in ways suggested to reduce the damage to jobs and social life. Most of the speakers were Conservative, with many asking for amendments to the rules, seeking better data and asking for an exit plan even where they were voting for the motion.

My Question during the Urgent Question on Lockdown: Economic Support, 3 November 2020

Sir John Redwood (Wokingham) (Con): I am glad that the Government agree that where, by law, they stop people working and earning a living, they should compensate them.

Will the Government look again at the terms of the scheme for the self-employed—there are restrictions on several categories of self-employed who have no other means of earning their living and no large company support—and be more generous?

Does my right hon. Friend agree that we need all those self-employed people to be ready to return to work to get some kind of recovery going soon, because the economy is in deep trouble?

The Chief Secretary to the Treasury (Mr Steve Barclay): I agree with my right hon. Friend that we need to ensure that the economy is able to bounce back quickly. That is why we have provided over £13 billion of support to the self-employed, which by international comparisons—I know my right hon. Friend looks at international comparisons—he will see is extremely generous.

I have set out previously in the House part of the operational difficulties, for example with owner-directors in terms of what is dividend income and what is not.

The point is that we have set out a generous self-employment income support scheme, but we need to deliver that operationally in a way that meets the tests set by, for example, the Public Accounts Committee, which has asked whether we have the right level of controls in place, given the speed at which these schemes were deployed.

In praise of small business and the self employed

Yesterday in Parliament the government confirmed its renewed scheme to offer some money to the self employed who are banned from working by lock down rules.

In the exchanges I welcomed the government’s acceptance of a simple proposition. If government prevents someone from earning their living or from trading their business for a public health reason, they should compensate them.

I went on to ask given this common ground between us, why didn’t the government follow through and make sure all categories of self employed who have lost their livelihoods to lockdown are in receipt of some substitute income for the duration of the controls?

I was not the only one to ask this. The Chief Secretary to the Treasury gave us the same answer as during the first Furlough scheme. They find it too difficult, for example, to distinguish between a self employed person working only for his own small company and paying himself a dividend, and a rich individual receiving dividends from other companies where he or she does little or no work. I find this bizarre. The Treasury should already know from tax records that the individual just has the one source of income, and works in the company he runs. They can always check it if they are suspicious. They could demand some certification by the individual when claiming the money. They rely on the individual to make an honest declaration of the dividends for tax purposes anyway.

I and others will keep pressing the government, though they seem unwilling so far to be fairer and more flexible. As I explained again to the Minister we will need all the entrepreneurs, small business people and small companies we can get when lockdown is over the power the economy back to life. Our small business sector deserves better. The Treasury should also abandon it tax attacks on people who work for themselves where the tax authorities want to claim they work one of their customers.

The hard questions that must be asked about forecasts, numbers, data and treatments

I am reproducing this article which was published earlier today on ConservativeHome:

Throughout this pandemic, I have been dismayed by the poor data and the misleading forecasts produced by some of the official advisers to the government.

On Saturday evening, like many people, I was left trying to read graphs purporting to give the reasons to justify a major curtailment of personal and business freedom, only to be unable to see the varying scales, the sources of the data or the relevant dates. There were as often glaring omissions. Why, for example, are we never given up to date figures of bed occupancies for the NHS either nationally or regionally?

Over the last six months, we have been shown some gloomy forecasts that proved wrong, regular changes in the way figures like the numbers of deaths are computed, misleading international comparisons with countries that compile data differently and a refusal by the advisers to engage in public with legitimate professional concerns of other medical and scientific experts who take a different view.

We hear a stupid mantra that we must follow the science. There is no single agreed scientific view of this disease because it is new and talented scientists and medics are wrestling to understand it and to work out how best to treat it. There are healthy disagreements between them as they seek better knowledge.

It is the worst kind of talking down to tell us there is one perfect settled scientific view which leads to one simple policy prescription of lock down. When I asked about the forecast of four thousand future daily deaths and the huge range in estimates for both deaths and cases into December, there was no convincing answer. The truth is that the government advisers do not know how many cases or deaths there will be next week or month. It turns out the 4000 forecast was based on out of date data, and the forecast build up towards 4000 has already been shown to produce figures that were far too high.

I fully accept that for a minority this is a dangerous and potentially lethal disease. For most, it is at worst a flu-like illness; for others, there are no symptoms at all. I am seeking changes to the way that the government responds to the pandemic. I wish them to do all that a government can to save lives, and to help the vulnerable find the protection they need and want from the disease.

I also wish to see the Government avoid measures which do substantial damage to jobs and livelihoods. As we saw, the last national lockdown was unable to stop the virus spreading again come the autumn. The Government’s own advisers who think the lockdown itself brought down case numbers and deaths substantially accept that a tough national lockdown does not solve the problem. They recommend continuing with various lockdown measures as long as we have no cure or preventative vaccine. Others think the virus had peaked at the point where the lockdown was imposed, and maybe the weather and other factors played a part in its temporary demise.

I am urging the government to work closely with medics and pharmaceutical researchers to identify more treatments to cut the death rates. There are various steroids, anti-virals, clot busters and antibody treatments that have now been found to help, or may emerge from trials as useful additions to treatment.

Health professionals have also now discovered using non invasive ways of administering extra oxygen are often best. There are also issues about whether Vitamin D and zinc supplements can help. I have urged more emphasis on qualified people seeking new ways of treating and preventing. There is much medical and pharmaceutical talent in the UK, and it may well make more breakthroughs, as it did with the introduction of steroid treatment.

I have urged better data. The basis of defining a death has been changed several times during the pandemic, and there are issues about whether Covid-19 deaths have been overstated whilst understating other lung infections and serious co morbidities in the mainly elderly people dying. In the early stages, the authorities boosted death numbers from Covid-19 by directing its inclusion on a death certificate even if there was no confirmatory test for its presence, based on reported symptoms.

There was also a wish to ascribe all deaths to Covid-19 where it was present, even though the elderly person concerned may have died from one or more of several other bad conditions they had. Some of the most common tests for the disease may also report false positives, which needs to be taken into account when examining figures for deaths and cases. The latest forecasts for cases and deaths take the form of very wide ranges where the upper figure is three times the lower figure, making them meaningless as planning forecasts.

There is an absence of reliable public data on hospital bed occupancy, which seems to be the main worry of NHS management and the scientific advisers. We must not close the economy down to save the NHS if it can now cope thanks to the building of the Nightingales, to greatly expanded intensive care facilities and recruitment of many more staff. Why are we not using some hospitals as isolation hospitals specialising in Covid-19, and leaving the rest of the system free of the disease to reassure patients needing many other treatments?

What we do know is a lockdown is very damaging to jobs and business. The first national lock down took around a quarter off our national income and output – an unprecedented fall. We cannot afford to do that again, as government rightly spent a fortune on subsidising public services and private sector employment to cushion the blow.

I am pressing for substantial changes to lockdown plans. I see no need to close outdoor sports facilities. I think a range of specialist retailers should stay open with suitable measures to cut risks of infection spreading. Pubs and restaurants should be allowed to sell drink as well as food for take away. Government should work with business and offer help to improve air extraction so more can function safely indoors.

I do support the schools staying open as this is important to the development and future prospects of children and teenagers. This disease is usually very mild in young people. I have urged the resumption of non Covid-19 work by the NHS as Ministers seek, as many more people die of causes other than Covid-19 every day.

In order to reduce the spread of the virus everyone needs to reduce the number of social contacts they have in enclosed spaces with poor air. This requires buy-in by the public. There is no agreed set of laws and controls on our everyday movements that will guarantee success. Government needs to persuade people to reduce social contacts rather than try to find a set of laws they can enforce against the wishes of a significant minority. It could also help by assisting more people and businesses to live with the virus for all the time we have no cures and vaccines.

Can we have more UV sanitising systems deployed in public places? Can we have more assistance to adapt air systems in commercial premises to extract dirty air promptly to make them safer? Can we have some better understanding from government that we need all the small businesses that serve us, and they are the ones that are in danger of being hounded out of work by clumsy generalised lockdowns.

We can adapt our lives to living with the virus by many small steps of a practical nature. This battle cannot be won by taking too many liberties away, and lecturing people to stop their social and business lives. My constituents want the government to work with them to help protect the vulnerable and make normal life safer for the rest. There is no silver bullet or single answer. We all need to help, and that requires a general spirit of collaboration, tolerance and commonsense.

New National Restrictions – Economic Support

I have received this update from the Chancellor:

I wrote to you in September highlighting the positive impact of the comprehensive and generous £200 billion package of support we have brought in since March to protect jobs, livelihoods and businesses.

In response to the new national restrictions announced by the Prime Minister to help tackle the spread of coronavirus, we are today confirming what support the Government will offer to help support businesses and individuals during this period.

Coronavirus Job Retention Scheme

I am confirming today that the Coronavirus Job Retention Scheme (CJRS) will be extended until 2 December 2020.

The scheme will operate on the same terms as the previous scheme and mirror the levels of support available under the scheme in August – this means that the government will pay 80 per cent of wages up to a cap of £2,500 for hours not worked.

Employers will not have to make any contribution to their employees’ wages for the hours not worked – they will only be asked to cover National Insurance and Employer pension contributions, which for the average claim accounts for just 5 per cent of total employment costs (or £70 per employee per month). Claims can be made from next week and as previously, paid within 6 working days.

The extended scheme will be open to new entrants; specifically, employees must have been employed and on an employer’s PAYE payroll on or before 30 October 2020. This means a Real Time Information (RTI) submission notifying payment for that employee to HMRC must have been made on or before 30 October 2020.

Neither the employer nor the employee needs to have previously used the CJRS to make a claim. Employees employed as of 23 September (day of the Job Support Scheme announcement) and notified to HMRC by RTI on or before that date, who have since been made redundant can be rehired and placed on the Scheme.

Support for the self-employed

Today, the Government is also announcing that we will provide more generous support to the self-employed and will pay that support more quickly. We are increasing the support to the self-employed from 40 per cent of trading profits to 80 per cent for November. As SEISS grants are calculated over 3 months, this increases the total level of the grant from 40 per cent to 55 per cent of trading profits for November to January and the maximum grant will increase to £5,160.

This provides broadly equivalent support to the self-employed as we are providing to employees through the government contribution in the Coronavirus Job Retention Scheme in November and then the Job Support Scheme in the two subsequent months. HMRC will pay this more generous grant sooner than planned and in good time for Christmas – the window for claiming a grant will open on 30 November, two weeks earlier than previously announced.

Loan extensions

We have announced that we plan to extend our loan schemes – the Bounce Back Loan Scheme, Coronavirus Business Interruption Loan Scheme, Coronavirus Large Business Interruption Loan Scheme and the Future Fund – to the end of January.

We will also adjust the Bounce Back Loan Scheme rules to allow those businesses who have taken out less than their maximum (i.e. less than 25 per cent of their turnover) to top-up their existing loan giving businesses greater flexibility and support. Businesses will be able to take up this option from next week; they can make use of this option once.

Mortgage payment holidays

Mortgage payment holidays will continue to be available for homeowners. Borrowers who have been impacted by coronavirus and have not yet had a mortgage payment holiday will be entitled to a six-month holiday and those that have already started a mortgage payment holiday will be able to top up to a maximum of six months without this being recorded on their credit file. The FCA will announce further details on the scheme, including how customers can continue to apply for this support.

Support for local businesses in England

Throughout the crisis, we have provided support for businesses. We are today confirming that businesses which are forced to close due to the new restrictions will receive up to £3,000 per month – this is worth over £1 billion a month under the new national restrictions and will benefit over 600,000 businesses.

Businesses in the hospitality, leisure and accommodation sectors that have been suffering from reduced demand for a while due to local restrictions will receive back dated grants at 70 per cent of the value of closed grants (up to £2,100 per month) for this period.

We are also providing one off funding of £1.1 billion to local authorities to support businesses more broadly over the coming months, who are a key part of our local economies.

More funding for English Local Authorities to support their local healthcare response

Up to £500 million will be provided to local councils for local public health initiatives, such as additional contact tracing, testing for hard-to-reach groups and communications.

The Contain Outbreak Management Fund has already supported several English Upper Tier Local Authorities to fund local public health initiatives. Where necessary, they will have this funding topped up to a maximum of £8 per head of population. If they have not received any to date, they will be entitled to the full £8 per head.

We are also providing additional funding to local authorities to support the Clinically Extremely Vulnerable now that revised guidance is in place nationally. Funding will be provided of up to £14.60 per Clinically Extremely Vulnerable person for the 28-day period that the restrictions are in force. We will review this funding after the 28-day period should the strictest guidance remain in place in any one area once the initial 28-day period is over.

Alongside our £200 billion package of support committed since March, these announcements will give businesses the support and flexibility to adjust and plan over the coming months.

RT HON RISHI SUNAK MP

Dear Constituent

I am seeking changes to the way the government responds to the pandemic. I wish them to do all a government can to save lives, and to help the vulnerable find the protection they need and want from the disease. I also wish to see the government avoid measures which do substantial damage to jobs and livelihoods.

I am urging the government to work closely with medics and pharmaceutical researchers to identify more treatments to cut the death rates. There are various steroids, anti virals, clot busters and antibody treatments that have now been found to help or may emerge from trials as useful additions to treatment. Health professionals have also now discovered using non invasive ways of administering extra oxygen are often best. There are also issues about whether Vitamin D and zinc supplements can help. I have urged more emphasis on seeking new ways of treating and preventing.

I have been very critical of the data and forecasts used by government advisers to urge Ministers into adopting lock downs. The basis of defining a death has been changed several times during the pandemic and there are issues about whether CV 19 deaths have been overstated whilst understating other lung infections and serious co morbidities in the mainly elderly people dying.

The latest forecasts for cases and deaths take the form of very wide ranges where the upper figure is three times the lower figure, making them meaningless as planning forecasts. There is an absence of reliable published data on hospital bed occupancy which seems to be the main worry of NHS management and the scientific advisers. We must not close the economy down to save the NHS if it can now cope thanks to building the Nightingales, greatly expanding intensive care facilities and recruiting many more staff.

I am pressing for substantial changes to lock down plans. I see no need to close outdoor sports facilities. I think a range of specialist retailers should stay open with suitable measures to cut risks of infection spreading. Pubs and restaurants should be allowed to sell drink as well as food for take away. Government should work with business and offer help to improve air extraction so more can function safely indoors.

I do support the schools staying open as this is important to the development and future prospects of children and teenagers. This disease is usually very mild in young people. I have urged the resumption of non CV 19 work by the NHS, as many more people die of causes other than CV19 every day.

If you are suffering particular problems with your job or business from the proposed lock down please let me know as I am pressing for change from Ministers. Without serious change to this policy I am unable to support it in a vote.

Yours sincerely

John Redwood