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May


The revenge of those who saved the NHS?

Fri, 4th Jun 2021

We knew the sort of things – part score-settling, part confession, part acute insight and part plain bonkers – that Dominic Cummings would come out with for the jointParliamentary committee in May. He confirmed much of what we guessed about Boris Johnson’s ramshackle government and how it approached the pandemic. Together with what we have learned for ourselves over the last plague year we are now in a position to say with a degree of confidence what the outlines of the official inquiry into the handling of the crisis, whenever it finally comes, should be.

Of course, the report won’t be able to say directly that we went into the biggest crisis since WWII with an administration of opportunistic and shifty second-raters, led by the biggest chancer of the lot – although it will surely make the point indirectly with hard words about PPE procurement, the ‘unimaginable’ £37bn spent on track and trace, the hopeless messaging surrounding the lockdowns and social distancing, and the ‘ring of steel’ supposedly thrown around care homes, among other things. It will also acknowledge that what happened last year was unprecedented, at least since 1918 and Spanish flu, and that if no government has got all its pandemic measures right it is no surprise – the most sobering lesson of the last year is how comprehensively humankind has been blindsided by biological evolution in the shape of a microscopic blind virus without a brain.
 
Yet it should also say that Covid wouldn’t have been able to make itself so comfortably at home in our richest societies without inherited weaknesses that even a more competent and less feckless team would have struggled with.The most glaring is the neglected and run-down organs of state that both individually and jointly have abjectly failed the challenge thrown at them. For this blame successive governments that having enthusiastically embraced the neo-liberal axiom that the market is the answer to everything if only the government would get out of the way, have over the last two decades casually outsourced capabilities, responsibilities and increasingly decision-making to the private sector and even more worryingly private sector IT. 
 
As Cummings confirmed, what was left to face the crisis was a collection of inturned agency silos that were riven with rivalries, distrust and turf-wars, had no shared goals and were chronically unwilling to share information. Take your pick of hapless UK institutions to supply the aptest symbol of the UK government in 2021 – the risibly renamed Great British Railways, currently the worst run, highest cost, and least passenger friendly in Europe; the once-revered Post Office, which put more faith in its terrible computer system than in its staff and after a decade of defending its scandalous treatment of innocent postmasters is now having to pay reparations worth billions; or, nearer to home, the mother of Parliaments and home of British democracy which has been left unloved and unmaintained for so long that billions are having to be spent to prevent it subsiding into the Thames. I could go on.
 
Then add to the state’s self-mutilation a decade of austerity that Covid has revealed and the report might categorise as one of the most grotesque false economies of all time. Not so much thrifty housekeeping, more criminal failure to invest in the state’s decaying institutional infrastructure. The report would list an NHS so busy with constant reorganisations that it can barely cope at the best of times; a threadbare unjoined-up care sector that is an insult to civilised society; contemptuously slashed essential local-authority services; unfit-for-purpose regulation (Grenfell Tower stands as another symbol of the UK’s complacent and negligent government); and a blind eye turned to burgeoning economic, health and housing inequalities. 
 
As we have seen all too clearly, over the last year the cost of these policy choices has come flapping heavily home for payment. The currency is the horrific tally of lives lost to Covid. The first job of any government is to protect its citizens. Instead, fearing above all the collapse of the perennially tottering health service, and without any other thought-out policy to hand, the government persuaded us to protect the NHS, and by extension itself, by, in effect, sacrificing the most deprived of society – the poor, the unhealthy, the inadequately housed and above all the elderly in care homes, all of whom suffer disproportionately from it – to the disease. And as a stopgap solution, monstrous as it seems to say so, it has worked. 
 
But there’s a kicker. ‘Saving the NHS’ in last year’s terms is not only not a long-term solution; it is a Pyrrhic victory that we simply can't afford to repeat. Reparations for the decades of neglect and austerity are urgently due. And they can't be avoided. In an increasingly interconnected world, the occurrence of more non-linear, extreme events in the future is almost guaranteed – and if the gaping holes in the social infrastructure and state competencies are left unfilled, society will remain as vulnerable to these future unexpected unknowns as it was to Covid in December 2020. In the meantime, the pockets of deprivation in our midst will remain breeding grounds for new variants of the coronavirus, just as will happen in poorer countries until they are vaccinated too. The report might but probably won’t call it the belated revenge of those who last year unwittingly paid with their lives for saving the NHS.
 

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User comments

Andy Lippok :: 8th Jun 21
Super scathing article Simon, which deserves wider publication somewhere - please!!!
Paul Reading :: 23rd Jun 21
Government manages to get away for a bit longer with desperate grasping at straws rather than cacknowlegde the intellectual bankrupcy of policy the last forty years. We are in the grip of faith rather than reason - Brexit being only the most obvious example - and it is very difficult to persuade people their faith has no basis.
Colin Farlow :: 20th Sep 21
Sorry I've only just caught up with this one, Simon. A brilliant summary to which yet more evidence has accrued since June! 'Truly, tis a mad, mad world, my masters!'
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