I understand the practical reasons why we have abandoned mandatory vaccinations but think the U-turn is completely wrong. Here's why…
I was intending to introduce mandatory flu vaccinations in my final year as Health Secretary before I was moved to another role.
I considered the issue carefully, with all the sensitivities involved, but concluded it was non-negotiable that staff working with highly vulnerable people should do everything possible to protect them against asymptomatic disease. If that isn't 'do no harm' what is?
So I supported the govt when they announced this. And they won the argument: most NHS leaders say this was right but they needed the gov to take a lead. They worked so hard to deliver it. But having marched people to the top of the hill we now have the worst of all worlds.
Who will now believe the govt next time it tries to do the right thing? What happens if we get a more dangerous variant than omicron? Staff who reluctantly got jabbed to keep their job will feel cheated, & staff who held out will feel vindicated that the Govt can’t be trusted.
I do concede the practical arguments about workforce shortages are compelling - some predicted entire maternity units could be put at risk - but the solution is not a u-turn on an important safety matter of principle but finally gripping the workforce crisis once and for all.
If workforce shortages are so bad that we have to undermine the Secretary of State’s word with a u-turn, where’s the long-promised workforce plan? Where’s the backlog workforce strategy? Why did the Govt vote down a plan for independent forecasts to help workforce planning?
Let’s hope this decision is a sign the Govt has finally woken up to the scale of the staffing crisis, and will publish a serious workforce plan with long-term independent forecasts on workforce planning and a plan to train, recruit and retain ASAP.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
A few thoughts on the government’s GP rescue plan announced today….firstly they are right to address crisis in this sector. Some good ideas including a new NHS covenant modeled on the military and more transparency about performance.
BUT, as someone who tried & failed to get 5000 more GPs into the system, I don’t think this package will turn the tide. We got 000s more graduates into GP surgeries, but we didn't make progress because experienced GPs were retiring/going part time faster than new trainees arrived
The lesson? This is a burnt-out workforce running on empty because of a massive mismatch between supply & demand. The only thing that will convince them not to continue retiring or opting for part-time hours in droves is a clear plan to end the unsustainable pressure they face.
Today’s report is most important my Select Committee has done. Taken over a year with lengthy evidence sessions (7 hours in the case of Dominic Cummings) but shows, I hope, parliament at its best as we deliver far reaching conclusions about our pandemic response…
Recommendations significant for 2 reasons: 1. unanimous agreement by 22 x-party MPs - as non-partisan as it’s possible to get. 2. Will be most comprehensive independent study ahead of public inquiry that may not publish for several years.
We conclude that our national response was a curate’s egg of disastrous mistakes and extraordinary genius. The first lockdown was too late & based on flawed scientific advice which should have been challenged earlier.
As health select committee chair most of the time I focus on holding the Govt to account on health. But occasionally opposition parties need to be called out too - never more so than today….
It’s outrageous that Lab & Lib Dems will vote against £12bn extra for the NHS & soc care after the year we’ve had. This is politicking of the worst kind because the crisis in the NHS & care system is real. Any wealth tax v unlikely to raise the sums needed for ageing population.
But even though it was tough for a Conservative PM & Chx to raise taxes, what comes next - turning money into results with proper reform - will be even tougher. Having dipped our hands into their pockets voters will be very angry if they don't see tangible improvements fast.
Lots of noise on social care and a possible new tax to pay for it...my thoughts in this thread.
It’s progress that the soc care debate has moved on from 'whether' to 'how.' This isn’t just because it wld breach the PM's words on the steps of Downing Street, but a growing realisation that with the Covid backlog we’ll never get the NHS back on its feet without soc care reform
Let's take as starting point the HSC report which said the sector needs min £7 bn annual raise in its budget over 4-5 years. This covers a cap, demographic changes and increases in the national living wage but not a big expansion of quality or eligibility committees.parliament.uk/work/136/socia…
Here’s an early take on our two bumper select committee grillings over the last two weeks - Dominic Cummings and Matt Hancock. A thread...
There was more melodrama than normal but it is not possible to stack up the most sensational revelations without evidence. Today's new @Dominic2306 tweets show the PM's total frustration ('f***ing useless' etc.) but do not prove anyone 'lied.'
Personal accusations are of course the most media-friendly but should not expose the much more serious failures in the functioning of the state in a national emergency, including key revelations about both scientific advice/herd immunity and test and trace.
Big news for the NHS that Sir Simon Stevens is stepping down. A thread...
When we recruited for a successor to Sir David Nicholson in 2013, there was a good deal of trepidation about the role following controversy over the 2012 Act. Simon, however, was the standout candidate and hiring him remains one of the best decisions I have ever taken.
Despite his time as a special adviser in No 10 and in the private sector in the US, SImon has always been NHS to his core. But neither he nor I knew just how bumpy things would become with immense operational and financial pressures across the NHS and social care system.