I was asked to write a supportive letter, if I agreed with the idea, to a secondary school running a No put down week. I thought it was a great idea.
I have decided to use the text as today’s blog, as some of you might like to disagree,given the way you often write about others. If only Europsceptics could learn from this idea, who knows what we might achieve together!

Dear Students,

You know how it hurts if someone says something unpleasant or untrue about you. None of us likes being put down or abused,even if it is only words.You feel the world is so unfair when it’s all lies. It’s even difficult to take if what they say has some truth in it, but you cannot help the feature or action they are attacking. So why do it to others?
I find I get more out of life if I am positive about what I can do and what others around me are doing. To me the glass is half full, not half empty. There is usually some good in everyone, and something worth our praise in what each can do.
I also find that if I am positive about the people I work with, they are likely to be more positive about me. It can be a win win. You should avoid putting people down because it is better for them. The irony is, it is usually better for you as well. If you are looking for something good in them, they will find it more difficult to keep on highlighting what they think is bad in you.
Try it. You should have a sunnier week. If it works for a week, why not make it a habit for the future? If you think I’m wrong at the end of the week, at least your friends will have enjoyed a week off your nasty comments.

Yours sincerely

John Redwood

I met a senior member of the German AFD yesterday in London. He was optimistic about his party’s prospects, anticipating they will win seats in the Euro elections next year. He explained that his party is now on 6% in the national polls, which would give them representation in the next Parliament if there has to be an early re-run of the election.

Their main policy is to insist on no more bail outs within the Euro zone. They are not calling for the immediate exit of certain countries from the zone, nor are they in favour of an early break up of the whole single currency. They think several countries will be unable or unwilling to accept the continuing discipline of the Euro, and will seek financial help from other member states. At that point those countries should be invited to leave rather than receiving money from the stronger countries.

The AFD see the damage the current level of the Euro is doing to some members, and the way high unemployment and little or no growth is stalking much of the zone. They think freeely floating currencies and monetary independence worked better in the past and would work better in the future.

They support the various legal challenges to the German government, made in an a effort to stop the use of German money prop up other parts of the zone. They see the difficulty Mrs Merkel is having in forming a new coalition government, and would like to see new elections. They point out that the substantial votes for Free Democrats and the AFD has not be translated into any seats in the Parliament, limiting their scope to influence the Parliamentary process.

It is still quite likely Mrs Merkel will do an eventual deal with the SPD. Such a government will be less wedded to policies which promote freedom and enterprise, and more inclined to support further EU integration and the transfer of subsidies. However, many of the German public agreee with the AFD’s central point, that there should be no more bail outs.

The latest polling on the EU is worrying for all those who think with one referendum we will be free. AFter a long period when those wanting out have exceeded those wanting to stay in by at least 10% and sometimes by 20%, the current polls show Out and In tied around 40% each.

It implies that the continuous false propaganda from a handful of senior business people at the CBI that membership of the EU is crucial to jobs and future prosperity is having some impact. The arguments that Germany and the others would not wish to lose their profitable exports to us and would come to a sensible trade arrangement with us do not get a sufficient hearing. The BBC is ever ready, along with some other media, to run and re-run the tired old arguments that we would lose 3 million export based jobs the day we left, without ever pausing to see how absurd this idea is.

The German Finance Minister himself has said Germany would want a trade agreement with the UK if we voted to leave. Of course they would, as their large exports of cars to us would otherwise be at risk. If Germany needs tariff freee access to our car market, as she clearly does, she would have to grant us continuing tariff freee access for our vehicles to the EU, the one demand our UK based motor manufacturers legitimately make. I find it odd that anyone thinks this would not happen.

Polling does also show that people are worried by the free movement of people, and apprehensive about further mandatory border easing in January next year. Whilst a large majority dislike this policy, it is curious that at least at the moment in the wider polling it is not sufficient reason for more to want to vote for Out.

It all goes to show that the UK can only reliably have a new relationship with the EU which is much less intrusive and frees us to have our own borders, energy and criminal justice policies if a government wins the election that can negotiate such a new deal, or can demonstrate that such a negotiation is not possible and that exit is therefore our best option. Today, with no negotiations allowed, the public is by no means united in simply wishing to leave.

Several of you will now doubtless wish to shoot the messenger, or attribute false motives to me. I merely report political reality as it is. You need to understand it if you are going to help extricate us from EU control.

 

            On Friday I met the Chairman and the CEO of the Berkshire Healthcare Trust.  Part of our discussions were about matters which are national as well as local in their impact, so I am posting this  report here as well as on my local pages.

            We met against the background of Mr Hunt announcing that in future an elderly patient coming out of hospital will be under the guidance and protection of his or her own GP, who will be responsible for ensuring their continuing care and treatment goes well. I welcomed this. The Trust replied that some GP s work on their own, and all GPs need time off, so they were sceptical about how  this responsibility works. I suggested they could help provide the backup to the GPs, with a telephone answering service with qualified people to ensure that out of hours calls can be dealt with promptly, and if something urgent is needed the right professionals can be put in touch with the patient. This did not get in the way of the GP being responsible for orchestrating the self treatment and nurse treatment needed for continuing care in his or her normal business hours, and ensuring appropriate services including emergency cover are in place.

          I explained the problems for patients – and the consequential issues for taxpayers – that the current arrangements can produce, based on conversations and case histories from my local experiences.

Problems for  patients

1. Difficulty in securing the correct supplies for continuing treatment

2. Lack of support when issuing new medical equipment for home use

3. Lack of support in providing maintenance and repair for home based  medical equipment

4. Attendance by health professionals who may not have the knowledge or information to answer the actual query of the patient, even where the query  is known in advance of the home visit

 

Problems for taxpayers

1.Wasted  home visits by people who cannot deal with the patient’s query or problem

2.Issue of supplies that are incorrect for the patients needs

3.Oversupply of items required, leading to write off at end of treatment

4.Failure to get medical equipment and reusable supplies back at end of treatment

Solutions

1. Proper analysis of patient needs on exit from hospital or on first diagnosis of a home based condition

2. Suitable training for patient where they have to use medical equipment or handle supplies for self treatment, from people who know the equipment

3. Back up supply and maintenance service for medical equipment and self treatment supplies by people who are expert in these matters

4. Attendance of nurse on visit where nursing skills are needed, with the nurse properly briefed on the treatment

5. Inventory and audit of medical equipment, to ensure return of reusable items at the end of the treatment, and safe disposal of other items.

Not all these matters require home visits. Some patients can be helped over the phone or by internet where they are happy with these methods.

 

 

 

 

 

 

          I find that the really popular part of the NHS that most voters wish us to protect and continue is the fact that most NHS service is free at the point of need , and all UK citizens are eligible for that treatment based on their need, not their means. All main political parties in the Commons – and I think UKIP – support this principle. The political debate is often about how a monopoly healthcare provider can deliver a good enough service without queues, without  high rates of hospital infection and  without bad treatment.

         There is always, however, another foolish debate about whether Conservatives secretly plan to privatise the NHS, with most people rushing to condemn any such move. Successive Conservative and Coalition governments have remained wedded to the free at the point of use  principle, and the next Conservative Manifesto will doubtless reaffirm it. Labour governments have also normally stayed true to this principle, though a former Labour government did break it by introducing prescription charges which have subsequently been accepted by all governments as a modification to the main principle. Many people are now exempted from these payments based on their own needs and resources.

         There is however, another way of looking at the Labour concern about “privatisation”. Whilst no recent government has and no future government after the  2015 election will seek to introduce charges or want to change free at the point of use, not all NHS care is delivered in NHS owned establishments by directly appointed staff. Again the irony is that the accusers over privatisation, Labour, have in office bought in private sector care for NHS patients themselves, sometimes preferring a private sector contractor to their own in house staff. All major parties accept that it may be sensible to outsource catering, cleaning, legal work or even some clinical and medical services.

        There is also one huge elephant in the room for those who claim to be against all private involvement in the NHS. That is the GP service.  The primary care GPs were never nationalised in the first place. To this day they remain as a collection of small businesses, running their own practises, with payments from the NHS under contracts for services they provide.

     As proof of their private sector status they can perform private sector work in their surgeries, offering holiday and  travel advice and vaccinations, private consultations, work for legal cases and the like for fees and charges. The GPs arrange their own properties, finance their own practises and hire their own staff. They may  run their own dispensing service to earn  additional revenue.

       The latest GP contract reminds us of their independent status, and of the controls and limits on their NHS work conduct imposed by government through the contract for services which the NHS buys. Few of those who claim to hate private involvement turn their attack on the GP model. No government has wanted to fully nationalise the GP service, and make all doctors state staff turning up for duty in NHS owned surgeries with no right to undertake private competitive medical business. Maybe this should give pause for thought when next the cries go up about the dangers and undesirability of  private involvement, and remind people that it is the no fee and charge that people most like, not the details of how the service they receive is organised.

 

              I have now received a detailed reply to my letter to the Secretary of State for Transport about HS2.

              We seem to be in agreement about current use of the line. I have long argued that there is low demand for long distance travel from London in the morning peak and back into London later in the day. The Secretary of State now confirms this, saying ” You mention outbound trips north of London in the morning peak. At present the attractiveness of commuting on long distance services out of London is relatively low”…. This seems to me to be important, as part of the case for HS2 is to spread business activity out of London.

             We are also in agreement that capacity is too small for shorter distance commuting into London, both on the lines northwards and on other lines into London as from the west via Paddington which will not benefit from HS2. The Secretary of State draws attention to other plans to deal with capacity shortages for these lines.

            The Secretary of State argues that commuters into Euston already face insufficient capacity and many have to stand. He agrees that lengthening trains can help, and is continuing with the plans to do this. The recent existing railway upgrade has increased the numbers of trains using the West coast mainline as well.  He says that an additional 36% capacity could be bought for £20bn by making further improvements to the present railway, which he thinks is not enough.

           He agrees that the forecasts for  passenger use of HS1 were too optimistic. He lays the blame for these mistakes on the fact that it was “an entirely new international service” and on the impact of low cost air travel as a competitor. In contrast he thinks that if anything the forecasts for passenger demand for HS2 are likely to prove low.

             This where our agreement runs out. The forecasts for passenger demand for HS2 rely heavily on people who would otherwise have used existing railways using HS2 instead. This is likely to lead to a fares war, which is not assumed in the forecasts for revenue and use in the HS2 prospectus. HS2 produces a huge increase in capacity, which will prove very difficult to fill in its early years.

            Currently without HS2 I have been offered a £12.50 fare to travel to Manchester Standard class, on a good range of pre booked trains on future days . Imagine what might happen to fares if there is  a very large increase in capacity. The Department has to understand that HS2 is very vulnerable to mainline price competition from  trains, just as HS1 is vulnerable to cheap airline competition. 

              Conscious that there need to be economic benefits from HS2 in the northern areas it serves, he has set up a Taskforce to work out what economic advantages a new line could bring. Other critics have said that the assessment of economic benefits attributes very large gains to relatively few extra rail journeys to there major cities.

               On Wednesday I headed west to the Forest of Dean to give an evening talk on the EU and current UK politics. My outbound train to Bristol was pretty full. The train from Bristol to Gloucester was just two carriages long, with standing room only for part of the journey. The long train to take me back at 10.30 from Bristol was practically empty. The railways have great trouble in matching capacity to demand. It seemed odd that there could not be an extra carriage on the short commuter train, and odd there were so many carriages on the late train with all the wasted cost and fuel that implied. Some say it’s to do with the need for more carriages in the morning, yet they seemed to be running fairly empty trains in both directions!

              It is also interesting when the main capacity shortfall is clearly commuting seats into London in the morning peak and out of London in the evening peak, that the answer is thought to be a new railway line to the north of the capital, but improving the existing lines to the east, south and west.

 

            Ever since Mr Carney, the Governor of the Bank of England, offered his forward guidance that interest rates will stay low for along time, the markets have been trying to prove him wrong.

            I have written before how the interest paid on the  10 year government bond or loans rose. Markets said there would need to be an early upward adjustment to the cost of government borrowing for anything other than the very short term, despite the Governor’s view. The 10 year interest rate which went below 1.5% at one point is at 2.8% today.

            Now market commentators are saying the official 0.5% short term rate will have to go up earlier than Mr Carney implied, maybe as soon as 2014. Whilst there are many savers who would welcome this, people on mortgages would not. The commentators are saying this because Mr Carney said he would not consider higher rates until unemployment fell to 7%, thinking that might not be until 2015 or 2016. Instead, unemployment has fallen again last month to near 7%, and  many think the 3 month figure could be down to 7% next year.

           Markets should remember, however, that Mr Carney did not say interest rates would be automatically raised as soon as unemployment fell. He went out of his way to say that when unemployment reached that level, the MPC would merely look again at all the facts and forecasts. The most recent figures show inflation falling at last, to levels that do not require more monetary action to curb price rises.  (Fuel prices are a different mater that we have discussed before). I suspect the Bank, should unemployment reach 7% next year, will still be reluctant to raise interest rates, until the growing recovery is well advanced.

           The official forecasts have long predicted that gilt yields or the government’s own cost of borrowing will go up. It is doing so and may do more. That is part of a long process of adjusting to the end of the Bank’s big programme of buying up government  bonds, and artifically raising their price and lowering the interest charge. The main concern of the Bank, subject to no inflationary danger, is to promote recovery. That requires skilful exit from the extraordinary actions of recent years, as Mr Carney well knows and is seeking to do.

 

              This morning  I spoke at the India Summit.

               I said that in Opposition when working on the Economic Policy Review for the Conservative party, I set out the likely rapid growth of India and China.  Just carrying forward recent growth rates for these two large economies, alongside the very poor growth of Euroland and the slower growth of the US and UK, demonstrated that India and China are going to play an ever increasing role in  the world economy and come to represent a much higher proportion of world trade. They will also wish to see this rise in economic power reflected in their position in world politics and by their representation in world fora. At a time when EU trade is performing weakly, Asian trade is rising strongly.

             The  Coalition was very receptive to this thinking. The newly elected government set out in its early days the need to strengthen the UK’s diplomatic ties and contacts with Asia. There were to be more Ministerial visits, better diplomatic representation, and more suport for the all important two way business links.

              So it has proved. Today as we met in London, the Prime Minister was on his third official visit to India with trade and investment in mind. He is planning a new British business centre in Mumbai, and taking a lead to help UK companies win contracts in the Bangalore-Mumbai Economic corridor, as India steps up its infrastructure investment.

              The UK has a lot to offer India. As India embarks on a major infrastructure programme, the UK can help plan, organise, finance and engineer major projects. India has already shown her talent as an investor in the UK, with success coming in  particular to its investment in Jaguar Land Rover.